Stammberger H, Zinreich S J, Kopp W, Kennedy D W, Johns M E, Rosenbaum A E
HNO. 1987 Mar;35(3):93-105.
More than 50 patients who underwent intranasal or radical (Caldwell-Luc) antrostomy for chronic recurring sinusitis and who had still the same symptoms as before the operation, were examined by endoscopy and polytomography/CT. More than 50% still had polypoid changes of the maxillary sinus mucosa. No correlation was found between the degree of the patient's symptoms and the degree of the maxillary sinus pathology or the patency of the naso-antral window. CT demonstrated anterior ethmoid disease in all of the patients, correlating well with the endoscopic findings and the patient's symptoms. This again proves that the anterior ethmoid holds the key position for re-infection or cure of the larger dependent sinuses. Functional endoscopic sinus surgery therefore aims at the primary infective foci in the anterior ethmoid and usually cures disease in the larger sinuses without an attack upon the latter sinuses.
对50多名因慢性复发性鼻窦炎接受鼻内或根治性（柯-陆氏）上颌窦造瘘术但术后仍有术前相同症状的患者进行了内镜检查和多层面体层摄影/CT检查。超过50%的患者上颌窦黏膜仍有息肉样改变。未发现患者症状程度与上颌窦病变程度或鼻-上颌窦窗通畅情况之间存在相关性。CT显示所有患者均有筛窦前部病变，与内镜检查结果和患者症状密切相关。这再次证明筛窦前部对于较大的附属鼻窦的再次感染或治愈起着关键作用。因此，功能性内镜鼻窦手术旨在针对筛窦前部的原发性感染灶，通常可治愈较大鼻窦的疾病，而无需对上颌窦等鼻窦进行手术干预。
