Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1993; 4(1):94-101

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

DOI: https://doi.org/10.35420/jcohns.1993.4.1.94

원저

만성 부비동염 환자에서 임상증상 및 전산화단층촬영 소견에 의한 부비동 내시경수술의 술후 결과분석

민양기¹, 정하원¹, 이재서¹, 이종우¹, 박석원¹

Endoscopic Sinus Surgery by Postoperative Symptoms and Computed Tomographic(CT) Findings in Patients with Chronic Paranasal Sinusitis

Yang Gi Min¹, Ha Won Jung¹, Chae Seo Rhee¹, Jong Woo Lee¹, Seog Won Park¹

¹서울대학교 의과대학 이비인후과학교실

¹Department of Otorhinolaryngology, Seoul National University College of Medicine

© Copyright 1993 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

Endoscopic sinus surgery is based on principle that the mucosal abnormalities can be reversed into normal mucosa by relieving the obstruction of the anterior ethmoidal area. This study is aimed to evaluate postoperative mucosal changes and symptomatic improvement in the patients who have underwent endoscopic sinus surgery from September 1991 through August 1992. The total number of patients were 76, who were divided into 2, 4, and 6 months postoperative groups. The thickness of maxillary sinus mucosa measured at three different sites on follow-up ostiomeatal unit(OMU) computed tomogram was compared with that on preoperative OMU CT. Changes of preoperative symptoms such as nasal discharge, nasal obstruction, facial pain, headache, anosmia and epiphora were analysed. It is suggested that removal of obstructive lesion in the ostiomeatal area might be beneficial in symptomatic improvement, however, healing of the maxillary sinus mucosa might take longer than 6 months after operation.

Keywords: Endoscopic Sinus Surgery; Maxillary Sinus Mucosa; OMU CT