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KMID : 0378619950120010195
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Baptist Hospital Medical Journal
1995 Volume.12 No. 1 p.195 ~ p.200
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Two Cases of Treatment of Chronic Frontal Sinus Disease by Combined Use of Osteoplastic Frontal Sinus Surgery and Endoscopic Frontal Sinusotomy
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김연기
박철홍/하정환/김종애
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Abstract
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Chronic frontal sinus disease, which do not respond to medical treatment, has been treated by surgical methods, Riedel's radical sinusectomy shows excellent success rates, but results in flattening of the forehead. Lynch-howarth frontal
sinusectomy
damages the bony framework of nasofromtal duct, and results in relatively high recurrence rate. Frontal osteoplastic flap operation, which has been widely used, provides excellent frontal sinus exposure and shows little recurrence rate. But fat
obliterated sinus is always radiographically opaque, which makes the diagnosis of recurrent disease difficult by either plain films or CT.
We used the combined method of frontal osteoplastic flap operation and endoscopic frontal sinusotomy, in one case of frontal mucocele which has the history of nasal polypectomy and intranasal ethmoidectomy, and in another case of chronic frontal
sinusitis which was recurred after endoscopic frontal sinus surgery. And we had good results in these two cases.
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KEYWORD
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