견치와 천공과 회전식 흡입기를 이용한상악동 내시경수술의 합병증 분석

김효진; 변장열; 고윤우; 김시찬; 이재용; 김기현; 이용만

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자료유형: 학술저널

저자정보: 김효진 변장열 고윤우 김시찬 이재용 김기현 이용만

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제3호

발행연도: 2006.1

수록면: 303 - 306 (4page)

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Background and Objectives：In patients with extensive polyposis of maxillary sinus or antrochoanal polyp, it is very difficult to remove entire diseased mucosa through middle meateal antrostomy and often require the procedure of canine fossa puncture. The aim of this study was to analyze the complications associated with this procedure. Materials and Method：We performed a prospective study and questionnaire about complications on 56 patients who had undergone a canine fossa puncture and removal of diseased mucosa with microdebrider. Results：A total of 91 canine fossa punctures were performed in 56 patients. Twenty five patients (44.6%) experienced more than one adverse effect. The most common complaint was facial or cheek swelling (29.7%) followed by facial or cheek pain (24.8%), facial bruise (17.9%), facial numbness (11.9%), dental numbness (7.9%), tingling sensation (5.9%) and infection of puncture site (1.9%). Most complications (94.1%) resolved within 4 weeks after surgery. Only one patient (0.9%) had persistent facial numbness even at 14 months after the procedure. Conclusion：Removal of extensive polyposis and diseased mucosa of the maxillary sinus with microdebrider through canine fossa puncture is a very useful technique. However, a significant number of patients experience temporary or permanent complications after surgery. Surgeons should be aware of these side effects and inform the patients before performing the surgical procedure. (Korean J Otolaryngol 2006;49:303-6)

#상악동·천공·회전식 흡입기·내시경·합병증. #Maxillary sinus·Puncture·Microdebrider·Endoscopes·Complications.

참고문헌 (12)

참고문헌 신청

/ 1984 / Clinical anatomy of the superior alveolar nerves 22 : 439 ~ 47

/ 1989 / Endoscopic paranasal sinus surgery:Indications and considerations 99 : 1 ~ 5

/ 1994 / Endoscopic orbital decompression 104 : 950 ~ 7

/ 1997 / Endoscopic sinus surgery:A review 30 : 313 ~ 330

/ 1997 / Management of diffuse polyposis and antrochoanalpolyp within maxillary sinus using microdebrider in endoscopicsinus surgery 40 : 1537 ~ 1545

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