Wide K, Sipilä J, Suonpää J
Department of Otorhinolaryngology, Turku University Central Hospital, Finland.
Rhinology. 1996 Sep;34(3):151-5.
Infection of the anterior ethmoids and recessus frontalis causes swelling of the mucosa and obstruction of the nasofrontal duct, impairing the drainage of the frontal sinus. During the healing process the obstruction diminishes gradually. Prolongation of this process can lead to chronic infection of the nasofrontal region causing recurrent or chronic frontal sinusitis. In our everyday work we need a simple and reliable method to evaluate the patency of the nasofrontal duct, in order to be able to assess the recovery and to find those patients whose disease tends to become chronic. For this purpose we have measured the patency of the nasofrontal duct in 58 patients with frontal sinusitis after trephination with computerized rhinomanometry (RM) and with a simple salinemanometry (SM). The validity of the two methods to predict the further outcome of the patients has been compared in order to find out if SM would prove to be at least almost as reliable as rhinomanometry. Our statistics prove that SM is a useful aid in assessing the short-term recovery process of the patients. The long-term predictive value still remains to be seen.
前筛窦和额隐窝感染会导致黏膜肿胀和鼻额管阻塞，影响额窦引流。在愈合过程中，阻塞会逐渐减轻。这个过程的延长会导致鼻额区域的慢性感染，引发复发性或慢性额窦炎。在日常工作中，我们需要一种简单可靠的方法来评估鼻额管的通畅性，以便能够评估恢复情况，并找出那些疾病易发展为慢性的患者。为此，我们用计算机鼻阻力测量法（RM）和简单的盐水测压法（SM），对58例额窦炎患者在钻孔术后的鼻额管通畅性进行了测量。比较了这两种方法预测患者进一步病情转归的有效性，以确定盐水测压法是否至少与鼻阻力测量法一样可靠。我们的统计数据证明，盐水测压法有助于评估患者的短期恢复过程。其长期预测价值还有待观察。
