지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 1,683 - 1,690 (8page)
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Purpose: To analyze the outcome of endoscopic sinus surgery (ESS) after preoperativesystemic steroid (PSS) treatment for chronic rhinosinusitis (CRS) with nasal polyposis (NP) and to investigate and compare clinicopathological factors associatedwith the outcome. Materials and Methods: We performed a retrospective chart review of 468 patients with CRS with NP who underwent primary ESS between January 2005 and October 2011. 124 patients who met the inclusion criteria were included. Beginning from 2008, our clinic administered steroid preoperatively in patients of CRS with NP, thus there were 84 patients with preoperative systemic steroid (PSS group) and another 40 patients without such regimen (no PSS group). To evaluate the outcome after ESS, poor outcome and complication were analyzed according to the following parameters: age, sex, follow-up duration, eosinophilic infiltration, atopy, asthma, Lund-Mackay score, and polyp grade. Results: There was no significant difference in poor outcome rates between the PSS and no PSS group (35.0% vs. 47.6%, p=0.185). There was no significant difference in complicationrates between the PSS and no PSS group (10% vs. 6%, p=0.468). As with the multivariate analysis of the clincopathological factors to the poor outcome rate, presence of asthma and eosinophilic infiltration were significantly related (odds ratioas 6.555 and 4.505, respectively), whereas PSS was confirmed as less likely related(odds ratio 0.611). Conclusion: Low dose PSS administration does not seem to have an effect on the outcome after ESS in patients who have CRS with NP. Eosinophilicinfiltration and presence of asthma are important predictors of surgical outcome.
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참고문헌 (26)
참고문헌 신청
[학술지(정기간행물)] -
Albu S / 2010 / Preoperative treatment with topical corticoids and bleeding during primary endoscopic sinus surgery / Otolaryngol Head Neck Surg 143 : 573 ~ 578
Aouad RK / 2011 / State of the art treatment of nasal polyposis / Am J Rhinol Allergy 25 : 291 ~ 298
Aukema AA / 2005 / Treatment of nasal polyposis and chronic rhinosinusitis with fluticasone propionate nasal drops reduces need for sinus surgery / J Allergy Clin Immunol 115
Banerji A / 2007 / Chronic rhinosinusitis patients with polyps or polypoid mucosa have a greater burden of illness / Am J Rhinol 21 : 19 ~ 26
Albu S / 2010 / Preoperative treatment with topical corticoids and bleeding during primary endoscopic sinus surgery / Otolaryngol Head Neck Surg 143 : 573 ~ 578
Aouad RK / 2011 / State of the art treatment of nasal polyposis / Am J Rhinol Allergy 25 : 291 ~ 298
Aukema AA / 2005 / Treatment of nasal polyposis and chronic rhinosinusitis with fluticasone propionate nasal drops reduces need for sinus surgery / J Allergy Clin Immunol 115
Banerji A / 2007 / Chronic rhinosinusitis patients with polyps or polypoid mucosa have a greater burden of illness / Am J Rhinol 21 : 19 ~ 26
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