Behrbohm H, Sydow K
Klinik und Poliklinik für Hals-Nasen-Ohrenkranheiten, Medizinischen Fakultät Charité, Humboldt-Universität zu Berlin.
HNO. 1991 May;39(5):173-6.
The mucociliary clearance of the maxillary sinus mucosa was studied before and 6-18 months after functional sinus surgery using 99mTc-SC in 34 sinuses of 22 patients with chronic inflammation of the ethmoid and maxillary sinus. Before operation the mucociliary transport was very slow and sometimes absent. In the postoperative interval between 6 and 18 months we saw a significant return of the mucosal function. In 56% of the sinuses investigated the postoperative clearance rate was within the normal range. We also recorded a similar trend in allergic patients, although there was not such a clear return to normal of the mucociliary clearance, and the rates were not within the normal range. We found no recovery of the mucociliary function in 11 sinuses of 7 patients with impaired healing. Decisions on subsequent treatment were based on postoperative nasal endoscopy and functional mucosal repair.
采用99m锝-硫胶体（99mTc-SC）对22例患有筛窦和上颌窦慢性炎症患者的34个鼻窦进行了研究，观察了功能性鼻窦手术前后以及术后6至18个月上颌窦黏膜的黏液纤毛清除功能。术前黏液纤毛运输非常缓慢，有时甚至缺失。在术后6至18个月期间，我们观察到黏膜功能有显著恢复。在56%的被研究鼻窦中，术后清除率在正常范围内。我们在变应性患者中也记录到了类似趋势，尽管黏液纤毛清除功能没有如此明显地恢复正常，且清除率不在正常范围内。我们发现7例愈合受损患者的11个鼻窦中黏液纤毛功能未恢复。后续治疗的决策基于术后鼻内镜检查和功能性黏膜修复情况。
