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KMID : 0361020000430050514
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 5 p.514 ~ p.519
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Clinical Characteristics of Chronic Sinusitis with Asthma
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Dhong Hun-Jong
Ha Byung-Suk
Jung Yoo-Seok
Chung Seung-Kyu
Chang Byung-Chan
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Abstract
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Background and Objectives : Chronic sinusitis has been closely related to bronchial
asthma. We investigated clinical characteristics of chronic sinusitis including the extent
of disease, radiographic findings, subjective sinusitis symptoms, and postoperative
outcome in sinusitis patients with asthma, and compared them with those without
asthma.
Materials and Methods : 24 sinusitis patients wit asthma and 103 patients without
asthma who underwent endoscopic sinus surgery were evaluated. We compared the
following 7 parameters between asthma and non-asthma group : presence of allergy,
previous sinus surgery, degree of preoperative polyposis, preoperative disease extent
scored with OMU CT findings, severity of sinusitis symptoms, patients’ sinusitis
symptom changes, and postoperative outcome. Postoperative outcome was evaluated by
examining the endoscopic findings in 99 patients (asthma group : 21, non-asthma group
: 78) who were followed up for more than 6 months. Patients’ sinusitis symptom
changes were also compared before and after surgery in each group.
Results : Patients of both groups showed improvement of sinusitis symptoms after
surgery. There were no statistical differences between the two groups on the presence
of allergy, previous sinus surgery, preoperative polyposis, preoperative OMU CT scores,
and severity of sinusitis symptoms. However, asthma group showed poorer postoperative
outcome, which was statistically significant, compared with those without asthma.
Conclusion : Chronic sinusitis with asthma is characterized by poorer postoperative
outcome, but there were no differences in the extent of preoperative diseases, allergy, or
previous sinus surgery between the two groups. Adequate preoperative management,
close attention during surgery and careful endoscopic postsurgical follow-ups would be
necessary for patients with chronic sinusitis with asthma.
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KEYWORD
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Asthma, Chronic sinusitis, Postoperative outcome, Endoscopic finding
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