Conservative Treatment in Childhood Chronic Maxillary Sinusitis

Jung, Hak Hyun; Lee, Soon Young; Woo, Soo Kyung; Choi, Jong Ouck; Yoo, Hong Kyun

doi:10.35420/jcohns.1991.2.2.249

J Clin Otolaryngol Head Neck Surg 1991; 2(2):249-258

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1991.2.2.249

원저

소아의 만성 상악동염에 대한 보존적 치료

정학현¹, 이순영¹, 우수경¹, 최종욱¹, 유홍균¹

Conservative Treatment in Childhood Chronic Maxillary Sinusitis

Hak Hyun Jung¹, Soon Young Lee¹, Soo Kyung Woo¹, Jong Ouck Choi¹, Hong Kyun Yoo¹

Author Information & Copyright ▼

¹고려대학교 의과대학 이비인후-두경부외과학교실

¹Department of Otolaryngology-Head and Neck Surgery，College of Medicine, Korea University

© Copyright 1991 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.

Published Online: May 31, 2020

Abstract

The management and the results of therapy for children with chonic maxillary sinusitis were reported. 108 patients, aged 3 to 14，were examined at our clinic during the period of March，1987 to September, 1989. They were divided into 3 groups according to the treatment method. On group I, only a medical treatment was made for 3 to 6 weeks. On group II, frequent antral irrigations were performed every other week with medical treatment. On group III，the adenoidectomy and antral irrigation were preformed with the medical treatment. The efficacy was evaluated by the physical finding and radiologic finding. The results were as follows:

The adenoidectomy and antral irrigation were the best in treating purulent or mucoid rhinorrhea with the recovery rate of 93% after 3 months.
The frequent antral irrigation were most effective to improve the radiologic finding with the complete recovery rate of 75% after 3 months. There was no significant difference in medical treatment group at 1 month and after 3 months, therefore it is useless of treating medically more than 1 month.
The recovery rates according to the degree of patency of the maxillary sinus ostium were 83% in cases of good ventilation, 50% in moderate ventilation and 33% in poor ventilation.

In conclusion, the medical treatment may be significant in childhood chronic maxillary sinusitis，but it doesn’t need over 3 weeks. Childhood chronic maxillary sinusitis must be treated as frequent irrigation if possible.

Keywords: Chronic maxillary sinusitis; Antral irrigation; Adenoidectomy