Fukami M, Yanagi K, Asai K, Ohtori N, Moriyama H
Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo.
Nihon Jibiinkoka Gakkai Kaiho. 1995 Mar;98(3):402-9.
One hundred and fifty-three patients with chronic sinusitis underwent endoscopic endonasal sinus surgery. They were preoperatively evaluated on the basis of their complaints, the severity of nasal polyps, X-ray findings, and axial and/or coronal CT scans. Postoperative degree of improvement in their complaints and endoscopic findings in the nasal cavity and sinus cavities were assessed. Most patients, including those with severe maxillary sinusitis, had a good postoperative course. The percentage of improvement in their complaints was 99.3%. Even in the case of olfactory disturbance, which is the most difficult symptom to treat, the percentage of improvement was 81.0%. There were only 8 patients with complaints and pathological findings in their nose or sinuses after the operation, 4 with allergic rhinitis and/or asthma, 1 with severe inflammation of the olfactory cleft, 1 with thickening of the bone in the sinuses after a 25-year history of sinusitis without treatment, and 2 with narrowing of the antrostoma at the middle meatus after the operation.
153例慢性鼻窦炎患者接受了鼻内镜鼻窦手术。术前根据患者的主诉、鼻息肉严重程度、X线检查结果以及轴位和/或冠状位CT扫描进行评估。术后评估患者主诉的改善程度以及鼻腔和鼻窦的内镜检查结果。大多数患者，包括那些患有严重上颌窦炎的患者，术后病程良好。患者主诉的改善率为99.3%。即使是最难治疗的嗅觉障碍症状，改善率也达到了81.0%。术后仅有8例患者鼻腔或鼻窦存在主诉及病理表现，4例患有过敏性鼻炎和/或哮喘，1例患有嗅裂严重炎症，1例在未经治疗的鼻窦炎病史25年后鼻窦骨质增厚，2例术后中鼻道上颌窦口狭窄。
