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[Endoscopic sinus surgery for unilateral chronic sinusitis].
Nihon Jibiinkoka Gakkai Kaiho. 1999 Jul; 102(7):871-7.NJ

Abstract

Functional endoscopic sinus surgery has become an increasingly popular treatment for chronic sinusitis. This approach is aimed at re-establishment of ventilation and mucociliary clearance of the sinuses. However, some otolaryngologists believe that the Caldwell-Luc procedure should be routinely used for unilateral chronic sinusitis, because it is often associated with the maxillary sinus carcinomas. To evaluate the state of endoscopic sinus surgery for the diagnosis and treatment of unilateral chronic sinusitis, we analyzed the cases of 39 patients with unilateral chronic sinusitis who underwent endoscopic sinus procedures. These patients were unresponsive to appropriate antibiotic management for more than 6 months. Generally, endoscopic ethmoidectomy and antrostomy were performed with preservation of the middle turbinate. After the ostium was enlarged, the maxillary sinus was cleaned and carefully inspected for the presence of associated neoplasms using 30 and 70 degree endoscopes. Preoperative computed tomography (CT), postoperatve pathologic diagnosis, fiberscopic findings of the maxillary sinus, and symptomatic improvement were evaluated. Three patients had CT evidence of bone destruction of the lateral nasal wall. Pathological diagnosis demonstrated that three patients had maxillary sinus mycoses caused by Aspergillus species, one patient had inverted papilloma, and the other 35 patients had chronic sinusits. No associated malignancy was found. Eighty-one percent of the patients had almost normal endoscopic findings of the maxillary sinus by postoperative fiberscopic examination 4 to 8 months following surgery. With an average follow-up of 26 months, 88% of the patients were judged as having significantly improved in their presenting complaints of mucopurulent rhinorrhea, nasal obstruction, and facial pain. The results of this series suggest that endoscopic sinus surgery is an effective procedure for the diagnosis and treatment of unilateral chronic sinusitis.

Authors+Show Affiliations

Department of Otolaryngology, Tokyo University Branch Hospital.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Clinical Trial
English Abstract
Journal Article

Language

jpn

PubMed ID

10459288

Citation

Ishibashi, T, et al. "[Endoscopic Sinus Surgery for Unilateral Chronic Sinusitis]." Nihon Jibiinkoka Gakkai Kaiho, vol. 102, no. 7, 1999, pp. 871-7.
Ishibashi T, Ishio K, Ichimura K, et al. [Endoscopic sinus surgery for unilateral chronic sinusitis]. Nippon Jibiinkoka Gakkai Kaiho. 1999;102(7):871-7.
Ishibashi, T., Ishio, K., Ichimura, K., Mizuno, M., & Fukaya, T. (1999). [Endoscopic sinus surgery for unilateral chronic sinusitis]. Nihon Jibiinkoka Gakkai Kaiho, 102(7), 871-7.
Ishibashi T, et al. [Endoscopic Sinus Surgery for Unilateral Chronic Sinusitis]. Nippon Jibiinkoka Gakkai Kaiho. 1999;102(7):871-7. PubMed PMID: 10459288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endoscopic sinus surgery for unilateral chronic sinusitis]. AU - Ishibashi,T, AU - Ishio,K, AU - Ichimura,K, AU - Mizuno,M, AU - Fukaya,T, PY - 1999/8/25/pubmed PY - 1999/8/25/medline PY - 1999/8/25/entrez SP - 871 EP - 7 JF - Nihon Jibiinkoka Gakkai kaiho JO - Nippon Jibiinkoka Gakkai Kaiho VL - 102 IS - 7 N2 - Functional endoscopic sinus surgery has become an increasingly popular treatment for chronic sinusitis. This approach is aimed at re-establishment of ventilation and mucociliary clearance of the sinuses. However, some otolaryngologists believe that the Caldwell-Luc procedure should be routinely used for unilateral chronic sinusitis, because it is often associated with the maxillary sinus carcinomas. To evaluate the state of endoscopic sinus surgery for the diagnosis and treatment of unilateral chronic sinusitis, we analyzed the cases of 39 patients with unilateral chronic sinusitis who underwent endoscopic sinus procedures. These patients were unresponsive to appropriate antibiotic management for more than 6 months. Generally, endoscopic ethmoidectomy and antrostomy were performed with preservation of the middle turbinate. After the ostium was enlarged, the maxillary sinus was cleaned and carefully inspected for the presence of associated neoplasms using 30 and 70 degree endoscopes. Preoperative computed tomography (CT), postoperatve pathologic diagnosis, fiberscopic findings of the maxillary sinus, and symptomatic improvement were evaluated. Three patients had CT evidence of bone destruction of the lateral nasal wall. Pathological diagnosis demonstrated that three patients had maxillary sinus mycoses caused by Aspergillus species, one patient had inverted papilloma, and the other 35 patients had chronic sinusits. No associated malignancy was found. Eighty-one percent of the patients had almost normal endoscopic findings of the maxillary sinus by postoperative fiberscopic examination 4 to 8 months following surgery. With an average follow-up of 26 months, 88% of the patients were judged as having significantly improved in their presenting complaints of mucopurulent rhinorrhea, nasal obstruction, and facial pain. The results of this series suggest that endoscopic sinus surgery is an effective procedure for the diagnosis and treatment of unilateral chronic sinusitis. SN - 0030-6622 UR - https://www.unboundmedicine.com/medline/citation/10459288/[Endoscopic_sinus_surgery_for_unilateral_chronic_sinusitis]_ L2 - http://www.medicalonline.jp/meteo_linkout.php?issn=0030-6622&volume=102&issue=7&spage=871 DB - PRIME DP - Unbound Medicine ER -