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KMID : 0603219940010010069
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Korean Journal of Rhinology
1994 Volume.1 No. 1 p.69 ~ p.76
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Endoscopic Sinus Surgery for Chronic Paranasal Sinusitis in Aspirin Sensitive Asthma Patients
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유창용
김용재/안철민/황준영/남규준/정덕희/박해심.
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Abstract
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There has been controversy in the efficacy of the surgical management of sinusitis for bronchial asthma. Aspirin sensitivity was confirmed by oral challenge test with 180mg of lysine-aspirin. To evaluate the result of the management of sinusitis
on
bronchial asthma, conservative management with combination of vigorous dressing follow-up, topical nasal steroids, antihistamines and appropriate oral antibiotics was done to 19 aspirin sensitive asthma patients with chronic sinusitis confirmed
by
computed tomography of ostio-meatal unit(OMU-CT). Six out of 19 patients(32%) showed improvement by intense medical management. Endoscopic sinue operations were done for 13 patients irresponsive to medical treatment.
After surgery, eight out of 13 patients(60%) showed improvement in nasal symptoms, and nine out of 13 patients(69%) in lower respiratory symptoms by symptom score. In 10 patients(77%), medication(theophylline, oral steroid etc.) requirement for
asthma
has been markedly decreased. Average follow0up period was 7.8 months.
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