소아 만성 비부비동염의 임상양상과 내시경 수술성적

박형욱; 송형민; 정유삼; 이봉재; 장용주; 유명상

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자료유형: 학술저널

저자정보: 박형욱 송형민 정유삼 이봉재 장용주 유명상

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제2호

발행연도: 2006.1

수록면: 168 - 173 (6page)

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Background and Objectives：Pediatric rhinosinusitis continues to be a challenging problem to otolaryngologists. This study aims to assess the clinical characteristics of chronic rhinosinusitis and the treatment outcomes of endoscopic sinus surgery (ESS) in children. Subjects and Method：Forty eight patients (13 women and 35 men with an age range of 7 to 17 years) were available for analysis by medical records and questionnaire. We classified the patients into three groups：25 cases of chronic rhinosinusitis with nasal polyposis (CRSNP), 11 cases of chronic rhinosinusitis without nasal polyposis (CRS), 12 cases of antrochoanal polyps (ACP). Objective outcome of ESS was evaluated through endoscopic examination and subjective outcome through questionnaire. Postoperative follow-up period ranged between 6 and 26 months. Results：Thirty-nine patients were treated with ESS and nine with ESS with concomitant adenoidectomy. Thirty-nine patients (81.2%) showed good outcomes by endoscopic examination. Also, thirty-eight patients (79.2%) reported high satisfaction by questionnaire. There were no statistical differences in the results through endoscopy and subjective satisfaction through questionnaire among three groups. CRSNP and ACP groups tended to have higher recurrence rate than CRS group. CRSNP group showed higher CT Lund-Mackay scores than ACP group and CRSgroup. Synechia occurred in 4 (8.3%) of 48 patients. Ten patients (20.8%) required endoscopic polypectomy or revision surgery. Conclusion：While pediatric ESS is still in progress and its role continues to be defined, the results of current study suggest that pediatric ESS is a safe and efficacious therapy for management of chronic rhinosinusitis in children. (Korean J Otolaryngol 2006;49:168-73)

#부비동염·소아·내시경·수술·치료성적. #Sinusitis·Pedistrics·Endoscopy·Surgery·Treatment outcome.

참고문헌 (12)

참고문헌 신청

Chung SH / 1994 / Prevalence of paranasalsinus opacification in infants and children without overt sinusitisusing computed tomography 30 : 573 ~ 7

Dursun E / 1998 / Follow-upresults of 415 patients after endoscopic sinus surgery 255 : 504 ~ 510

Gliklich RE / 1995 / Techniques for outcomes research in chronicsinusitis 105 : 387 ~ 390

Hebert RL 2nd / 1998 / Meta-analysis of outcomes of pediatricfunctional endoscopic sinus surgery 108 : 796 ~ 799

Kim HY / 2005 / Prognostic factorsof pediatric endoscopic sinus surgery 69 : 1535 ~ 1539

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