진균성 부비동염의 임상적 고찰

김수환; 박용진; 김성원; 강민곤; 주영훈; 조진희

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자료유형: 학술저널

저자정보: 김수환 박용진 김성원 강민곤 주영훈 조진희

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제3호

발행연도: 2005.1

수록면: 332 - 337 (6page)

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Background and Objectives：Since its first recognition in 1885 by Schubert, the prevalence of human fungal sinusitis has increased. Recently, endoscopic sinus surgery has emerged as a sucessful surgical modality in the treatment of fungal sinusitis. sinus surgery (ESS) for treating fungal sinusitis. Subjects and Method：Of the 8750 cases who underwent ESS between 1995 and 2003, 157 cases that were pathologically confirmed to be fungal sinusitis were retrospectively analyzed by reviewing their medical records. Results：There were 52 males and 105 females patients: the age ranged from 14 to 88 years, with the mean age of 54 (44% ). The number of human fungal sinusitis treated with ESS were 41 from 1995 to 1998, and 116 since 1999. Recently, the number of cases has increased. The radiological findings in these cases included hazines, calcification and bone destruction of the involved sinuses. Preoperative CT revealed mottled calcific densities within involved sinuses in 37% of the cases. During operation, fungal ball and debris were observed in 52 cases and nasal polyps in 58 cases. All patients received ESS and showed no recurence during the mean follow-up period of 6.2 months. Conclusion：The review of 157 cases of fungal sinusitis revealed that the incidence was increased recently, symptoms were non-specific, CT and nasal endoscopy were excellent diagnostic tools, and that the ESS is a good modality for treatment.

#진균성 부비동염·부비동 전산화 단층촬영·내시경 부비동 수술. #Fungal sinusitis· Paranasal sinus CT· Endoscopic sinus surgery.

참고문헌 (15)

참고문헌 신청

/ / A newly recognized form of sinusitis. J Allergy Clin Immunol1983 : 89 ~ 93

/ / Differential diagnosis with MR imaging andrelation to CT findings. Radiology 1990 : 777 ~ 81

/ / Newman RK. Aspergillosis of the nose and paranasalsinuses. Laryngoscope 1982 : 764 ~ 6

/ / Park SI. Mycotic infection of paranasalsinuses Its diagnostic significance of computerizes tomographic scan.Korean J Otolaryngol 1987 : 879 ~ 85

/ / Schubert J. um Kasuistick des Aspergillusmykosen. Ditch Arch KlinMed 1885 : 162 ~

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Kim Soo Whan

소속기관 Department of Otolaryngology-Head and Neck Surgery Seoul St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.

주요연구분야 의약학 > 임상의학 > 비뇨기과학 의약학 > 임상의학 > 이비인후과학

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