Fang S Y
Department of Otolaryngolgy, Faculty of Medicine, National Cheng Kung University, Taiwan, R.O.C.
Rhinology. 1997 Jun;35(2):84-8.
No previous data regarding non-invasive Aspergillus sinusitis (NIAS) treated by endoscopic sinus surgery (ESS) has stated any relevance to pre-operative evaluations, disease entities, and the reversibility of symptoms and the sinus mucosa. This prospective study of 31 patients with NIAS and treated by ESS (Strammberger's method) was designed to tackle the above problems. All patients were followed post-operatively by endoscopy once a week. The most refractory symptom was post-nasal dripping. The other symptoms such as foul odour showed progressive improvement by the second post-operative week. Prolonged saccharin time and disease history longer than two years showed the warning signs of a poor recovery. Most patients belonged to the chronic indolent sinusitis group with 55.5% having a complete recovery within the 9th to 12th post-operative weeks. Most patients of allergic Aspergillus sinusitis manifested a recurrent course within months following a post-ESS silent period. All patients of aspergilloma completely recovered prior to the 8th post-operative week.
此前尚无关于经鼻内镜鼻窦手术（ESS）治疗非侵袭性曲霉菌性鼻窦炎（NIAS）的资料表明其与术前评估、疾病实体以及症状和鼻窦黏膜可逆性之间存在任何关联。这项针对31例NIAS患者并采用ESS（施特拉姆贝格尔法）治疗的前瞻性研究旨在解决上述问题。所有患者术后每周接受一次内镜检查随访。最顽固的症状是鼻后滴漏。其他症状如异味在术后第二周时逐渐改善。糖精时间延长和病程超过两年显示出恢复不佳的警示信号。大多数患者属于慢性惰性鼻窦炎组，55.5%的患者在术后第9至12周内完全康复。大多数变应性曲霉菌性鼻窦炎患者在ESS术后无症状期后的数月内出现复发。所有曲霉菌瘤患者在术后第8周前完全康复。
