10년간 시행한 일측성 부비동내시경수술 환자의 분석

Background and Objectives: The aims of study were to evaluate the disease spectrum and to analyze the clinical characteristics of unilateral sinonasal diseases performed unilateral endoscopic sinus surgery (ESS). Materials and Methods: A retrospective review of 294 patients performed unilateral ESS during 10 years was done. Spectrum of diseases according to pathology, age and sex distribution, clinical symptoms and signs, involved sinus and CT finding were analyzed. Results: Among 1320 patients performed ESS, 294 patients (22.3%) were unilateral. 225 cases (76.5%) were inflammation, 53 cases (18.0%) benign tumors and 16 cases (5.5%) malignant tumors. In inflammation, chronic rhinosinusitis (CRS) , fungal sinusitis, postoperative maxillary cyst (POMC) , antro- choanal polyp (ACP) were frequent in order. In benign tumors, inverted papilloma (IP) , hemangioma, angiofibroma were frequent in order. In malignant tumors, adenoid cystic cancer, squamous cell carcinoma, melanoma were frequent. Although the most common disease was CRS, the proportion of CRS is less than 30% and the most common tumor was IP. In children, IP, fungal sinusitis, malignant tumor, POMC were not found and ACP, angiofibroma were significantly frequent compared to adults. In male, benign tumors had higher incidence than female. Postnasal drip was more common in inflammation, obstruction in benign tumors and epistaxis in malignant tumors. Conclusion: The nature and clinical characteristics are diverse and the disease spectrum is very broad in unilateral sinonasal disease cases performed ESS. Therefore, more detailed caution is needed for diagnosis and treatment in cases with unilateral sinonasal diseases than bilateral cases. (J Clinical Otolaryngol 2007;18:207–211)