Outcomes of middle meatal antrostomy after different surgical strategies

Authors: Kim, Young Hyo; Jung, Gihwa; Lee, Seok Jae; Ko, Byoung-Youn; Jang, Tae Young

Source: Acta Oto-Laryngologica, Volume 131, Number 9, September 2011 , pp. 1002-1007(6)

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Abstract:

<title>Abstract</title>

Conclusion: There was no significant difference in the postoperative outcomes between different surgical options for treating chronic maxillary sinusitis (CMS). Objective: We aimed to compare the improvement in symptoms, and changes in endoscopic and CT grade in patients undergoing different surgical management of the maxillary sinus ostium. Methods: In 32 patients (group A), the pathologic mucosa was radically removed with a power microdebrider. In 28 patients (group B), only part of the pathologic mucosa was removed; gross pathologic lesions were left in situ. In 38 patients (group C), only enlargement of the maxillary ostium was performed. Pre- and postoperative changes in symptoms, endoscopic polyp grade, and Lund-Mackay CT score were compared between groups. Results: In all groups, the symptoms were significantly improved after 1 month and throughout the follow-up period. Patients in groups A and B had meaningful improvement of the endoscopic polyp grade 1 month after surgery. The endoscopic grade of patients in group C at 1 and 3 months after surgery was not significantly different from the preoperative grade; however, there was a meaningful difference after 6 months. At 12 months after surgery, all groups had a significant decrease in the CT score (p < 0.01); however, there was no difference between groups.

Keywords: Maxillary antra; endoscopy; maxillary sinusitis

Document Type: Research article

DOI: http://dx.doi.org/10.3109/00016489.2011.581309

Affiliations: 1: Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine, Incheon, Korea

Publication date: 2011-09-01

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