10년의 시간차에서 부비동내시경수술을 받은 환자의 임상양상의 변화: 후향적 관찰연구

류인용; 권철; 고태경; 이건희; 조중생; 김성완

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자료유형: 학술저널

저자정보: 류인용 (경희대학교 의과대학 이비인후과학교실) 권철 (경희의료원) 고태경 (경희대학교 의과대학 이비인후과학교실) 이건희 (경희대학교) 조중생 (경희대학교) 김성완 (경희대학교)

저널정보: 대한비과학회 Journal of Rhinology Journal of Rhinology Vol.23 No.2

발행연도: 2016.1

수록면: 81 - 84 (4page)

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연구주제

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연구배경

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연구방법

🏆

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Background and Objectives: Endoscopic sinus surgery (ESS) was introduced to Korea in the 1980s and has since developed rapidly. There have been many changes in ESS over this period. Thus, in this paper, we explore trends in the clinical characteristics of ESS. Subjects and Method: We retrospectively reviewed patients who underwent the ESS at 000 Hospital performed by a single surgeon at a 10-year interval. By comparing 106 patients who underwent ESS in 2003 and 108 patients who underwent ESS in 2013, we investigated changes in ESS in terms of the target group of surgical indications, CT scores, range of operation and complications. Results: With regard to surgical indications, the proportion of patients who underwent surgery due to nasal polyps in 2013 (32.4%) was lower than in 2003 (59.4%), while the proportion of patients undergoing fungal sinusitis surgery in 2013 (13.9%) was higher than in 2003 (0.0%). In terms of preoperative CT evaluation, Lund-Mackay scores for the maxillary sinus, ethmoid sinus, and ostiomeatal unit were lower in 2013 than in 2003. The proportion of ESS performed only in the maxillary sinus in 2013 (20.0%) was higher than in 2003 (10.0%). Conclusion: According to this study, the range and extent of sinusitis was favorable in 2013 compared to in 2003. The group of patients requiring treatment for only maxillary sinus disease accounted for a larger proportion of patients in 2013 than in 2003.

#Endoscopic sinus surgery #Change #Fungal #Polyp #Indication

참고문헌 (17)

참고문헌 신청

Chandra RK / 2009 / Evolution of the endoscope and endoscopic sinus surgery / Otolaryngol Clin N Am 42(5):747~752

Hemmerdinger SA / 2005 / Accuracy and cost analysis of image guided sinus surgery / Otolaryngol Clin N Am 38(3):453~460

Backous DD / 2005 / Skull base medical and surgical issues commonly encountered in the practice of otolaryngology / Otolaryngol Clin N Am 38(4):13~14

Sellari-Franceschini S / 2005 / Orbital decompression in Grave’s ophthalmopathy by medial and lateral wall removal / Otolaryngol Head Neck Surg 133(2):185~189

Setliff RC / 1994 / The hummer: new instrumentation for functional endoscopic sinus surgery / Am J Rhinol 8(6):275~278

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