원저

상악동염에서 천자세척법에 의한 단순방사선의 진단율 비교 연구

김평주1, 채성원1, 이흉만1, 황순재1
Pyung Joo Kim1, Sung Won Chae1, Heung Man Lee1, Soon Jae Hwang1
Author Information & Copyright
1고려대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Korea University

© Copyright 1992 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

There are many methods for diagnosis and evaluation of maxillary sinus disease. The PNS radiography is the general method to diagnose the lesion of sinuses. A series of 62 patients (100 sinuses) with acute and chronic maxillary sinusitis evaluated at the department of otolaryngology, Korea University Hospital from November 1, 1989 to February 28, 1991 was reviewed for the diagnostic accuracy of the plain X-ray compared to that of the puncture and irrigation (P & I).

The results were as follows;

  1. The positive rate was 60% in 100 cases of maxillary sinus, especially in 84 cases exception of 12 minimal mucosal thickening and 4 polypoid apearance, the positive rate was 71.4%.

  2. The false-positive rate in plain X-ray was as follows; 16.7% in molderate to severe mucosal thickening, 32.5% in diffuse homogenous opacity, 35% in air-fluid level.

  3. The capacity of maxillary sinus was as follows ; Average 6cc in positive cases of moderate to severe mucosal thickening and 15cc in false-positive cases. Average 8cc in positive cases of air-fluid level and 9cc in false-positive cases.

  4. The accuracy in cases of abnormal nasal cavity findings such as septal deviation, conchal hypertrophy, nasal polyp was 68.2% and in normal nasal cavity, the accuracy was 44.4%

In conclusion, though the plain X-ray is useful diagnostic tool, it is necessary to use endoscopy, ultrasonography and CT scan for evaluation of the maxillary sinus diseases.

Keywords: Paranasal sinusitis; Pucture & Irrigation; PNS view


임상이비인후과 학술상 공지


안녕하십니까.

대한이비인후과학회 부산울산경남지부회에서는

회원분들의 학술 연구를 장려하는 의미에서 

2022년도부터 학술상을 신설해 수여하고자 합니다. 

 

임상이비인후과 학술상

1. 2022년에 본 학술지에 게재된 논문중

인용횟수 및 학술적 가치가 높은 연구주제에 대해

편집위원회에서 선정 후 수여

2. 수상자는 논문의 교신저자로 함

3. 시상 - 상장 및 상금 50만원

4. 시상일 - 추후 공지

5. 편집위원회에서 선정하므로 별도의 신청 필요 없음

 

- 관련문의 

 임상이비인후과 편집위원회  jco.hns.1990@gmail.com


I don't want to open this window for a day.