Mucociliary function of the maxillary sinuses after restoring ventilation: A radioisotopic study of the maxillary sinus
Mucociliary function of the maxillary sinuses after restoring ventilation: A radioisotopic study of the maxillary sinus
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DOI：
10.1007/bf00879275
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发表时间：
1997-04-01
影响因子：
2.6
通讯作者：
Caglar, M
中科院分区：
文献类型：
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作者：
Dal, T;Onerci, M;Caglar, M
鼻窦的通畅和通气对鼻窦的正常功能和鼻窦炎的发病起着至关重要的作用。内窥镜治疗方式的经验表明，即使是上颌窦和额窦严重的粘膜疾病，在根除筛内的感染性病灶并保持鼻窦通气和引流后也会愈合。本研究的目的是利用扫描方法评估慢性上颌窦通气后粘膜纤毛功能的可能差异。14例患者（22个上颌窦）和3例对照组（6个上颌窦）在功能性内窥镜鼻窦手术后进行评估。术后第3天和第3周分别计算20 min时鼻窦引流率。对比术后早期和晚期的引流比例，发现有囊肿但没有增生性粘膜变性的鼻窦，3周后粘膜纤毛功能恢复正常。虽然根据病变的严重程度和范围，增生性鼻窦的纤毛功能和引流明显改善，但在3周时仍低于正常鼻窦的水平。
Ostium patency and sinus ventilation play a key role in the normal function of the sinuses and the pathogenesis of sinusitis. Experience with endoscopic treatment modalities has indicated that even severe mucosal disease in the maxillary and frontal sinuses will heal after eradication of an infectious focus in the ethmoid and maintaining ventilation and drainage of sinuses. The aim of this study was to use scintigraphic methods to evaluate possible differences in mucociliary function of chronically diseased maxillary sinuses after establishment of ventilation. Fourteen patients (22 maxillary sinuses) and 3 controls (6 maxillary sinuses) were evaluated after functional endoscopic sinus surgery. The drainage ratios of sinuses at 20 min were calculated at the 3rd postoperative day and again at 3 weeks. When the early and late postoperative drainage ratios were compared it was found that mucociliary function returned to normal after 3 weeks in sinuses with cysts but without hyperplastic mucosal degeneration. While the mucociliary function and drainage improved significantly in sinuses with hyperplastic mucosa, depending on the severity and extension of the pathology present, it was still less than levels found in normal sinuses at 3 weeks.