2 0 0 0 OA 上・下気道過敏症合併の有無による慢性副鼻腔炎手術症例の臨床的特徴
- 著者
- 唐木 將行 小林 隆一 小林 英治 石井 玄吾 森 望
- 出版者
- 日本鼻科学会
- 雑誌
- 日本鼻科学会会誌 (ISSN:09109153)
- 巻号頁・発行日
- vol.45, no.2, pp.154-159, 2006-07-31 (Released:2010-03-11)
- 参考文献数
- 12
Bronchial asthma has been reported to greatly influence the outcome of endoscopic sinus surgery (ESS) in patients with chronic sinusitis. We studied 191 patients undergoing ESS from January 2000 to December 2004, focusing on postoperative improvement in olfactory disorders, recurrence, and incidence of reoperation in 143 patients with follow-up exceeding 6 months. Airway hypersensitivity was observed in 35% of patients undergoing ESS, compared to 75% of asthmatic patients and 81% of those with both asthma and allergic rhinitis who had preoperative olfactory disorders. Olfactory disorders improved in 82% of patients undergoing ESS. Over 50% of relapsed patients had airway hypersensitivity. Asthmatic patients had an especially high relapse 37% (10 of 27 patients) . The outcome of ESS was significantly worse in patients with asthma. We conclude that patients with chronic sinusitis and asthma, who tend to experience more recurrence, require regular examination and early treatment.
