Kim Hansol, Jung Taesik, Park Joon Yong, Lee Jiyeon, Cho Jae Hoon, Kim Jin Kook
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Chungju, Republic of Korea.
J Rhinol. 2022 Mar;29(1):38-42. doi: 10.18787/jr.2021.00394. Epub 2022 Mar 28.
The prelacrimal window approach (PLWA) is useful for treating anterior maxillary sinus lesions. A previous study reported that the feasibility of PLWA in Chinese patients was 93.0%, which is higher than that in the European population (68.5%). This study aimed to compare the ease of PLWA between a patient group and healthy controls and to analyze the results for Koreans compared to those of previous studies. Differences between the patient and control groups and the distribution of types in the Korean population were evaluated.
We analyzed 89 paranasal computed tomography (CT) scans from 51 controls and 38 patients (178 sides). We measured the distance distribution between the anterior wall of the maxillary sinus and the anterior wall of the lacrimal duct (D1) and its thickness (T). We compared the values in the control and patient groups.
D1 and D2 were similar between the patient and control groups (p=0.395, p=0.344), though T was greater in the patient group (p<0.001). In the patient group, sinus with inverted papilloma (IP) and normal sinus were not significantly different for any of these measures. The D1 distribution in Koreans did not differ significantly from that of Chinese but did differ from that of Europeans.
The ease of PLWA was 92.2% in Koreans, which is more similar to that of Chinese (93.0%) than to that of Europeans (68.5%). D1 and D2 of the patient group did not differ from those of the control group, but T was greater in the patient group. In the patient group, D1 and D2 were not significantly different between sinus with IP and normal sinus. The frequency of type 2+3 in patients was similar to that of the control group.
泪前窗入路（PLWA）对治疗上颌窦前部病变有用。先前一项研究报告称，PLWA在中国患者中的可行性为93.0%，高于欧洲人群（68.5%）。本研究旨在比较患者组与健康对照组之间PLWA的操作难易程度，并分析韩国人与先前研究结果相比的情况。评估了患者组与对照组之间的差异以及韩国人群中的类型分布。
我们分析了来自51名对照组和38名患者（178侧）的89份鼻旁计算机断层扫描（CT）。我们测量了上颌窦前壁与泪道前壁之间的距离分布（D1）及其厚度（T）。我们比较了对照组和患者组的值。
患者组与对照组之间的D1和D2相似（p = 0.395，p = 0.344），尽管患者组的T更大（p < 0.001）。在患者组中，患有内翻性乳头状瘤（IP）的鼻窦和正常鼻窦在这些测量指标上均无显著差异。韩国人的D1分布与中国人的没有显著差异，但与欧洲人的不同。
韩国人PLWA的操作难易程度为92.2%，与中国人（93.0%）的更相似，而与欧洲人（68.5%）的不同。患者组的D1和D2与对照组的没有差异，但患者组的T更大。在患者组中，患有IP的鼻窦和正常鼻窦之间的D1和D2无显著差异。患者中2 + 3型的频率与对照组相似。
