원저

비중격 성형술과 내시경 부비동 수술시 비강 세균 및 균혈증에 대한 연구

송미나1, 이현창1, 류리아1, 조석현1, 김경래1, 정진혁1,*
Mi Na Song1, Hyun Chang Lee1, Ri A Ryu1, Seok Hyun Cho1, Kyung Rae Kim1, Jin Hyeok Jeong1,*
Author Information & Copyright
1한양대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University, Seoul, Korea
*교신저자: 정진혁, 471-701 경기도 구리시 교문동 249-1 한양대학교 의과대학 이비인후-두경부외과학교실 전화: (031) 560-2368·전송 :(031) 566-4884 E-mail : ent@hanyang.ac.kr

© Copyright 2007 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 10, 2007; Accepted: Oct 30, 2007

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Septoplasty and endoscopic sinus surgery are common intranasal operations. Infectious complications of nasal packing after rhinologic surgeries have been reported. In this study, we compared the preoperative bacterial distribution of nasal cavity to the postoperative bacterial distribution cultured from nasal packings and investigated if the bacteremia during the operations were developed. Materials and Methods: This study included 30 septoplasty and 30 endoscopic sinus surgery patients. Nasal culture was taken preoperatively. And then postoperative culture from the nasal packing was done. Blood cultures were obtained before mucosal incision during operation, at the postoperative 2nd day (maintaining nasal packing), 3rd day (after removal of nasal packing). Results: Significant bacterial growth was detected from preoperative nasal culture in 40.0% of septoplasty group and 70.0% of endoscopic sinus surgery group, each. Staphylococcus aureus was detected in 13.3% of septoplasty group, 23.3% of endoscopic sinus surgery group. The detection ratio of bacteria was higher in endoscopic sinus surgery group. In the result of postoperative culture from nasal packings, bacterial growth ratio was 36.7% in septoplasty, 50.0% in endoscopic sinus surgery group. In case of Staphylococcus aureus, 10.0% and 20.0%, each. Bacterial growth from blood cultures detected in only 2 cases of septoplasty group. But bacteria were detected in different two patients. It is supposed to be contaminated. No bacterial growth was detected in endoscopic sinus surgery group. Conclusion: It is supposed that postoperative intravenous antibiotics prevent bacterial growth of nasal packing and bacteremia. (J Clinical Otolaryngol 2007;18:212–218)

Keywords: 세균; 균혈증; 비중격; 비부비동
Keywords: Bacteriology; Bacteremia; Nasal septum; Nasal sinus