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KMID : 0900220100170020102
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대한비과학회지
2010 Volume.17 No. 2 p.102 ~ p.106
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Glucocorticoid Receptor-β Overexpression According to Nasal Polyp Severity：Immunohistochemical Study
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An Yong-Hwi
Hong Sung-Lyong
Han Doo-Hee
Wee Jee-Hye
Rhee Chae-Seo
Lee Chul-Hee
Min Yang-Gi
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Abstract
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Background and Objectives：The aims of the study were to reintroduce a surgical technique for a “mini” Caldwell-Luc operation and to determine its efficacy.
Materials and Methods：A prospective study was performed in 23 patients undergo￢ing the “mini” Caldwell-Luc operation. Improvements in clinical symptoms and endoscopic and computed tomographic (CT) findings were evaluated postoperatively over a follow-up period ranging from 6 to 21 months. All patients were surveyed for nasal symptoms (nasal obstruction, rhinorrhea, posterior nasal drip, headache, and anosmia), complications (tooth or gum pain, numbness, persistent facial pain, and facial hypo-paresthesia), and recurrence. Preoperative nasal polyps were classified by the Gaskins method, and preoperative paranasal sinusitis was graded according to the Kennedy CT staging system.
Results：Symptom scores were all significantly reduced postoperatively (paired t-test, p<0.05). There were no major complica￢tions specific to this technique. Among 29 maxillary sinuses that received the “mini” Caldwell-Luc operation, seven showed recurrence (24%).
Conclusion：The “mini” Caldwell-Luc operation provides an alternative method of obtaining access to the maxillary antrum and is associated with minimal morbidity.
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KEYWORD
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Caldwell-Luc operation, Chronic maxillary sinusitis, Endoscopic sinus surgery
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