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KMID : 0361019980410020203
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 2 p.203 ~ p.207
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Post-operative Result of Endoscopic Sinus Surgery in Patients with Chronic Paranasal Sinusitis
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강보승/Bo Seung Kang
김남표/이외중/송호준/이원용/김종애/Nam Pyo Kim/Woi Joong Lee/Ho Joon Song/Won Yong Lee/Chong Ae Kim
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Abstract
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Background and Objectives: Endoscopic sinus surgery has recently become a popular and effective treatment method for chronic paranasal sinusitis. Although several papers have been written about the results of ESS, little has appeared about
its
long-term results. The purpose of this study is therefore to add to the understanding long-terms results of ESS by presenting our experience. Material and Methods: We report our experience on 410 patients who underwent endoscopic sinus
surgery
for chronic paranasal sinusitis from January 1993 to August 1995 and a long term follow-up study from 12 to 36 months. We evaluated their preoperative symptoms, previous nasal surgery history, anatomical variations on the preoperative OMC-CT,
pattern of
inflammatory sinonasal disease, as well as their postoperative improvement of the symptoms using questionnaires and the endoscopic sinonasal findings. Results: Nasal obstruction was the most improved symptom. Patients without any history
of
nasal
surgery had relatively good results compared to those with previous operation history. Patients with an OMU anatomical variation also had relatively good results compared to those with no OMU variation. Among the different patterns of chronic
paranasal
sinusitis based on the Babbel classification, the sinonasal polyposis pattern (Ⅳ) showed most inferior postoperative improvement of the symptoms. Nevertheless, the overall postoperative improvement of chronic paranasal sinusitis indicates that
the
endoscopic sinonasal surgery was effective. Conclusion: On the whole, 371 (91%) of the 410 patients benefited from this procedure, indicating that endoscopic sinus surgery provides an efficient method for treating chronic sinusitis and
that
sinonasal polyposis can be managed with a high level of success.
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KEYWORD
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