소아 부비동의 해부학적 변이와 만성 부비동염과의 관계

김병철; 김윤태; 이장우; 오정훈; 김현준

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자료유형: 학술저널

저자정보: 김병철 김윤태 이장우 오정훈 김현준

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제6호

발행연도: 2005.1

수록면: 729 - 734 (6page)

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Background and Objectives：Endoscopic sinus surgery in children has increased in the recent years. Therefore, we need toknow the precise anatomy and anatomic variations of the nose, and we also need to know the relationship between these anatomicvariations and sinusitis. Subjects and Method：To assess the extent and distribution of diseases as well as associatedanatomic abnormalities in this pediatric population, we retrospectively reviewed 94 OMU CT scans of children who showedcontinued symptoms of sinusitis after extensive medical therapy had failed. Results：Maxillary sinusitis was the most commonsinus infection, followed by ethmoidal, sphenoidal and frontal sinusitis. A agger nasi cell was the most common anatomic variation,followed by septal deviation, Haller’s cell, concha bullosa, paradoxical middle turbinate and Onodi’s cell. There was nostatistical significance between the sinusitis and anatomic variations. Conclusion：Anatomic variations in the nose are commonin children. However, because there is no definitive relationship between the anatomic variations and sinus disease, local,systemic or environmental factors appear to be more important in pediatric sinusitis than anatomic variations.

#만성 부비동염·해부학적 변이·부비동내시경수술. #Pediatric chronic sinusitis·Anatomic variation·ESS.

참고문헌 (22)

참고문헌 신청

April MM / 1993 / Coronal CTscan abnormalities in children with chronic sinusitis 103 : 985 ~ 90

Bayram M / 2001 / Important anatomic variations ofthe sinonasal anatomy in the light of endoscopic sinus surgery:Apictorial review 11 : 1991 ~ 7

Bolger WE / 1991 / Paranasal sinus bony anatomicvariations and mucosal abnormalities:CT analysis for endoscopicsinus surgery 101 : 56 ~ 64

Calhoun KH / 1991 / CT evaluation of the paranasal sinuses in symptomatic and asymptomaticpopulations 104 : 480 ~ 3

Herbert RL / 1998 / Meta-analysis of outcomes of pediatric functionalendoscopic sinus surgery 108 : 796 ~ 9

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