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원발성 섬모 운동 이상증에서 내시경적 상악동 대개방술로 치료한 난치성 만성 부비동염 2예

Two Cases of Recalcitrant Chronic Rhinosinusitis Treated with Endoscopic Maxillary Mega-Antrostomy in Primary Ciliary Dyskinesia

대한이비인후과학회지-두경부외과학 2021년 64권 5호 p.350 ~ 353
노해민, 박준용, 정태식, 김진국,
소속 상세정보
노해민 ( Noh Hae-Min ) - Konkuk University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
박준용 ( Park Joon-Yong ) - Konkuk University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
정태식 ( Jung Tae-Sik ) - Konkuk University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김진국 ( Kim Jin-Kook ) - Konkuk University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Primary ciliary dyskinesia (PCD) results in several characteristic clinical symptoms, includingchronic pansinusitis, recurrent infections of the respiratory tract, and infertility. Concerningthe rhinologic aspect, medical therapy mainly involving a combination of long-term antimicrobialagents and intranasal steroid sprays can control sinusitis in the majority of cases.
But, there are no definite treatment guidelines for recalcitrant chronic sinusitis with PCD. Recently,we examined a 28-year-old male with serous otitis effusion, chronic sinusitis, andbronchiectasis, and a 4-year-old female with chronic sinusitis and serous otitis effusion. Weconfirmed PCD by electron microscopy and endoscopic maxillary mega-antrostomy was performedin both cases for the treatment of chronic sinusitis that was refractory to conservativemanagement.

키워드

Endoscopic sinus surgery; Maxillary mega-antrostomy; Primary ciliary dyskinesia

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