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비내시경하 부비동 수술후의 Nasal Packing에 대한 세국학적 연구
Published Online: May 31, 2020
ABSTRACT
Chronic maxillary sinusitis is a very common disease in the otolaryngologic field. It comes usually after viral upper respiratory infectoin. There are so many articles about bacteriologie study in chronic maxillary sinusitis, but there were rare articles about nasal packing with antibiotic ointment after endoscopic sinus surgery and relation with accompanying disease.
This study was carried out on 85 patients (170 cases) who received endoscopic sinus surgery operation with chronic paranasal sinusitis. Group I which without bacitracin® ointment used, Group II used it, at Department of otolaryngology Kangbuk Samsung Hospital, Samsung Medical Center, during 3 months from June 1995 to September 1995.
The results were obtained as follows;
In the age distribution, the highest incidence of chronic paranasal sinusitis was noted between 10∼19 years of age (78 cases, 43%). In sex distribution 51 cases (60%) were males and 34 cases (40%) were females, and the ratio between male and female was about 3 : 2.
Bacterial culture was positive 13 cases (16%) in the Group I, but bacterial culture was negative in Group II. The most common pathogens isolated were Staphylococcus group 8 cases, Enterobacter erogenes 4 cases, and Klebsiella pneumonia 1 case.
In the Group I, there is no relationship between nasal polyp, allergic rhinitis and pansinusitis, and culture positive.