두위에 따른 비액형과 비분무형의 비부비동내 분포

노환중; 김태원; 이정훈; 이현순; 고의경; 왕수건

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자료유형: 학술저널

저자정보: 노환중 김태원 이정훈 이현순 고의경 왕수건

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제8호

발행연도: 2004.1

수록면: 736 - 740 (5page)

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연구결과

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Background and Objectives：This study was designed to compare sinonasal distribution of topical nasal drops and spray according to head positions and to suggest optimal head position for efective topical delivery. Subjects and Methods：The study group included five healthy subjects (normal group) (ESS group). A visual asesment of the intranasal distribution of nasal drops and spray was made using Fluorescein Blue Filter System after instillation of TobraDexdrops and Nasonexdyed with 0.2% fluorescein. Each group took five kinds of head position for nasal drops and two for nasal spray. Results：Drops instilled with head back position were found along the nasal flor, and drops tilled in Mygind position and Ragan position were found in the midle meatus and head of the middle turbinate in the normal group, and in the middle meatus, ethmoidectomized cavity, and maxilary sinus in the ESS group. The head neutral position showed efective dis-tribution to the septum, lateral nasal wal, and midle turbinate in the normal group, and in the ethmoidectomized cavity in the ES group, compared to the head forward position which distributed the drops lower depending portion. Conclusion：These o the olfactory cleft, and Mygind position and Ragan position are proposed to the midle meatal region in non-surgery patients and ethmoidectomized cavity and maxillary sinus in post-ES patients. Head neutral position is recommendable for efective delivery of nasal spray compared to head forward position regardles of ESS.

#비액·비분무액·두위 변화. #Nasal drop· Spray· Head position.

참고문헌 (11)

참고문헌 신청

Bacon JR / 1984 / Distribution and clearance of radioactive aerosol on the nasalmucosa 22 : 65 ~ 75

Clifton NJ / 2002 / An evaluation of the best headposition for instillation of steroid nose drops 27 : 18 ~ 21

Homer JJ / 2001 / The delivery of topical nasal sprays and dropsto the middle meatus:A semiquantitative analysis 26 : 294 ~ 297

Keerl R / 1999 / Videoendoscopic analysis of nasal steroid distribution 37 : 69 ~ 73

Kubba H / 1999 / How uncomfortabale are the various positions recommendedfor the instillation of nose drops? 113 : 326 ~ 328

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