Samal Dillip Kumar, Chirom Amit, Mallick Saumyaranjan, Gupta Vikas, Behera Ganakalyan
Otorhinolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Cureus. 2025 Jan 1;17(1):e76730. doi: 10.7759/cureus.76730. eCollection 2025 Jan.
To determine the clinical, radiological and histopathological changes in maxillary antrum compared to ethmoid sinuses in patients with chronic sinusitis with nasal polyposis.
This is a prospective observational study conducted in a tertiary care hospital.
A total number of 30 primary cases of inflammatory nasal polypi, not responding to conservative measures, were evaluated clinically and radiologically. They underwent endoscopic sinus surgery, and all sinuses were cleared of diseases. Histopathological evaluation of both maxillary sinus and ethmoid sinuses was done and compared.
Among 30 patients with 60 nasal cavities studied, nearly all showed partial or complete opacity of their maxillary antrum and blocked osteomeatal complexes on radiology. But, only a few patients (16.67%) showed frank polypi in their antrum intra-operatively. On histopathology, antral mucosa showed rare involvement, and the submucosa showed variable grades of inflammation, but it was significantly less compared to ethmoids.
Although maxillary antrum gets involved clinically in nearly all polyposis cases, pathological involvement is unlikely compared to ethmoid sinuses. Thus, it indicates a secondary inflammatory change in maxillary sinuses rather than primary involvement.
确定慢性鼻窦炎伴鼻息肉患者上颌窦与筛窦相比的临床、放射学和组织病理学变化。
这是一项在三级护理医院进行的前瞻性观察研究。
对30例对保守治疗无反应的原发性炎性鼻息肉患者进行临床和放射学评估。他们接受了鼻内镜鼻窦手术，所有鼻窦的疾病均被清除。对上颌窦和筛窦进行了组织病理学评估并进行比较。
在研究的30例患者的60个鼻腔中，几乎所有患者的上颌窦在放射学上均显示部分或完全混浊，且骨窦复合体阻塞。但是，术中仅有少数患者（16.67%）的上颌窦出现明显息肉。组织病理学检查显示，上颌窦黏膜受累罕见，黏膜下层炎症程度各异，但与筛窦相比明显较轻。
虽然几乎所有息肉病患者的上颌窦在临床上都会受累，但与筛窦相比，病理受累的可能性较小。因此，这表明上颌窦的炎症变化是继发性的，而非原发性受累。
