教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis. |
掲載誌名 | 正式名:The Journal of laryngology and otology 略 称:J Laryngol Otol ISSNコード:1748-5460(Electronic)0022-2151(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 132(5),pp.408-17 |
著者・共著者 | Tsuzuki Kenzo, Hashimoto Kengo, Okazaki Ken, Sakagami Masafumi |
発行年月 | 2018/05 |
概要 | OBJECTIVE:This study aimed to analyse findings of functional endoscopic sinus surgery to estimate the post-operative course of patients with chronic rhinosinusitis.METHODS:From 2007 to 2015, 291 adult patients with bilateral chronic rhinosinusitis, divided into eosinophilic chronic rhinosinusitis (n = 210) and non-eosinophilic chronic rhinosinusitis (n = 81) groups, who underwent primary functional endoscopic sinus surgery were enrolled. Functional endoscopic sinus surgery findings, scored as operating score, were analysed in relation to pre-operative olfactory recognition threshold and sinonasal computed tomography imaging score, as well as post-operative endoscopic appearance.RESULTS:Operating scores in eosinophilic chronic rhinosinusitis were significantly worse than those in non-eosinophilic chronic rhinosinusitis. The anterior ethmoid sinus and superior meatus were predominantly inflamed. Operating score significantly correlated with pre-operative olfaction recognition threshold, computed tomography score and pre-operative endoscopic appearance score. In eosinophilic chronic rhinosinusitis, higher operating scores were related to post-operative deterioration of endoscopic appearance score.CONCLUSION:The operating score reflects the course following functional endoscopic sinus surgery. Patients with more severe operative findings require longer post-operative treatment. |
DOI | 10.1017/S0022215118000543 |
PMID | 29665880 |