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KMID : 0361020210640050350
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 5 p.350 ~ p.353
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Two Cases of Recalcitrant Chronic Rhinosinusitis Treated with Endoscopic Maxillary Mega-Antrostomy in Primary Ciliary Dyskinesia
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Noh Hae-Min
Park Joon-Yong
Jung Tae-Sik
Kim Jin-Kook
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Abstract
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Primary ciliary dyskinesia (PCD) results in several characteristic clinical symptoms, includingchronic pansinusitis, recurrent infections of the respiratory tract, and infertility. Concerningthe rhinologic aspect, medical therapy mainly involving a combination of long-term antimicrobialagents and intranasal steroid sprays can control sinusitis in the majority of cases.
But, there are no definite treatment guidelines for recalcitrant chronic sinusitis with PCD. Recently,we examined a 28-year-old male with serous otitis effusion, chronic sinusitis, andbronchiectasis, and a 4-year-old female with chronic sinusitis and serous otitis effusion. Weconfirmed PCD by electron microscopy and endoscopic maxillary mega-antrostomy was performedin both cases for the treatment of chronic sinusitis that was refractory to conservativemanagement.
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KEYWORD
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Endoscopic sinus surgery, Maxillary mega-antrostomy, Primary ciliary dyskinesia
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