Sawatsubashi M, Murakami D, Umezaki T, Komune S
Department of Otorhinolaryngology,Graduate School of Medical Sciences, Kyushu University,Fukuoka,Japan.
J Laryngol Otol. 2015 Mar;129 Suppl 2:S52-5. doi: 10.1017/S0022215114002394.
The purpose of this study was to evaluate the effectiveness of the combination of inferior and middle meatal antrostomies for treatment of a maxillary sinus fungus ball by functional endoscopic sinus surgery.
A retrospective analysis including 28 patients with non-invasive fungal maxillary sinusitis was performed. Fourteen patients underwent FESS with both middle and inferior meatal antrostomies (combined group). The remaining 14 patients were treated with FESS through only the middle meatal antrostomy (control group).
Post-operative computed tomography showed normal maxillary sinuses in all patients in the combined group. In contrast, in the control group, five patients (36 per cent) exhibited a normal maxillary sinus, seven (50 per cent) showed maxillary mucosal thickening and two (14 per cent) had persistent fungus balls in the maxillary sinus.
FESS with a combination of middle and inferior meatal antrostomies proved more effective for treating fungal maxillary sinusitis.
本研究旨在评估功能性鼻内镜鼻窦手术中联合中下鼻道上颌窦造口术治疗上颌窦真菌球的有效性。
对28例非侵袭性真菌性上颌窦炎患者进行回顾性分析。14例患者接受了中鼻道和下鼻道联合造口术的功能性鼻内镜鼻窦手术（联合组）。其余14例患者仅通过中鼻道造口术接受功能性鼻内镜鼻窦手术治疗（对照组）。
联合组所有患者术后计算机断层扫描显示上颌窦正常。相比之下，对照组有5例患者（36%）上颌窦正常，7例（50%）上颌窦黏膜增厚，2例（14%）上颌窦内有持续性真菌球。
事实证明，联合中鼻道和下鼻道造口术的功能性鼻内镜鼻窦手术治疗真菌性上颌窦炎更有效。
