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소아의 만성 상악동염에 대한 보존적 치료
Published Online: May 31, 2020
Abstract
The management and the results of therapy for children with chonic maxillary sinusitis were reported. 108 patients, aged 3 to 14，were examined at our clinic during the period of March，1987 to September, 1989. They were divided into 3 groups according to the treatment method. On group I, only a medical treatment was made for 3 to 6 weeks. On group II, frequent antral irrigations were performed every other week with medical treatment. On group III，the adenoidectomy and antral irrigation were preformed with the medical treatment. The efficacy was evaluated by the physical finding and radiologic finding. The results were as follows:
The adenoidectomy and antral irrigation were the best in treating purulent or mucoid rhinorrhea with the recovery rate of 93% after 3 months.
The frequent antral irrigation were most effective to improve the radiologic finding with the complete recovery rate of 75% after 3 months. There was no significant difference in medical treatment group at 1 month and after 3 months, therefore it is useless of treating medically more than 1 month.
The recovery rates according to the degree of patency of the maxillary sinus ostium were 83% in cases of good ventilation, 50% in moderate ventilation and 33% in poor ventilation.
In conclusion, the medical treatment may be significant in childhood chronic maxillary sinusitis，but it doesn’t need over 3 weeks. Childhood chronic maxillary sinusitis must be treated as frequent irrigation if possible.