전산화단층촬영의 분석을 통한 비부비동 내시경 재수술에 영향을 미친 해부학적 구조 및 비정상적 소견

이규은; 조현상; 임수진; 곽진욱; 김경수; 김현직

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자료유형: 학술저널

저자정보: 이규은 조현상 임수진 곽진욱 김경수 김현직

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제56권 제12호

발행연도: 2013.1

수록면: 764 - 768 (5page)

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Background and Objectives The aim of this study was to evaluate the non-dissected anatomic structures and abnormal computed tomographic findings that contribute to the recurrence of chronic rhinosinusitis (CRS) or the trail of revision endoscopic sinus surgery (ESS). Subjects and Method The medical records of 34 subjects who were diagnosed with recurrent chronic rhinosinusitis, and required to undergo revision endoscopic sinus surgery were collected retrospectively. The subjects’ computed tomography results were examined by a radiology specialist. Results The most common anatomic factors associated with the revision ESS for recurrence of CRS or retained inflammation were residual uncinate process (47.0%) and residual anterior ethmoidal cells followed by undissected posterior ethmoidal cells (38.2%) and obstructed sphenoid sinus ostium (32.3%). In addition, the uncorrected septal deviation, retained agger nasi cells or Haller cells and lateralized middle turbinate were also identified in the patients. Conclusion From these data, we analyzed anatomical structures and CT findings related to the failure of primary ESS. We suggest that careful attention be given to these structures after primary ESS so as to reduce the failure rate and increase successful outcomes.

#Anatomical #Endoscopic sinus surgery #Recurrence #Sinusitis.

참고문헌 (11)

참고문헌 신청

Catalano PJ / 2004 / Minimally invasive sinus technique: what is it? Should we consider it? / Curr Opin Otolaryngol Head Neck Surg 12 (1) : 34 ~ 37

Catalano PJ / 2004 / The minimally invasive sinus technique: theory and practice / Otolaryngol Clin North Am 37 (2) : 401 ~ 409

Gore MR / 2013 / Beyond the “central sinus”: radiographic findings in patients undergoing revision functional endoscopic sinus surgery / Int Forum Allergy Rhinol 3 (2) : 139 ~ 14

Jiang RS / 2002 / Revision functional endoscopic sinus surgery / Ann Otol Rhinol Laryngol 111 (2) : 155 ~ 159

King JM / 1994 / A review of revision functional endoscopic sinus surgery / Laryngoscope 104 (4) : 404 ~ 408