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편측성 만성 부비동염의 해부학적 유발 인자

Anatomical Factors of the Unilateral Chronic Sinusitis

건양의대학술지 2005년 5권 1호 p.99 ~ 102
최종철, 인승민, 박병건,
소속 상세정보
최종철 ( Choi Jong-Cheol ) - 건양대학교 의과대학 이비인후과학교실
인승민 ( In Seung-Min ) - 건양대학교 의과대학 이비인후과학교실
박병건 ( Park Byung-Keon ) - 건양대학교 의과대학 이비인후과학교실

Abstract


Background: The large portion of unilaterally affected sinus lesion is chronic sinusitis, even though a considerable number of unilateral sinus lesions included inverted papilloma, cyst, malignancy and fungal infection.

Objectives: This study was designed to determine anatomically related factors of unilateral chronic sinusitis. Materials and Methods: We obtained the computer tomograph (CT) scans in series of 87 patients with unilaterally affected sinus lesions from April 2001 through April 2004, and retrospectively analysed 56 patients with unilateral chronic sinusitis excluding cystic or tumorous disorders.

Results: The major proportion of unilateral sinus lesions are simple chronic sinusitis. The CT scan reveals that bony anatomical variation of ostiomeatal unit (OMU) are significant factors related with development of unilateral chronic sinusitis. Nasal polyp is also, one of the factors associated with unilateral chronic sinusitis. The direction of nasal septal deviation has no signficant relation with unilateral chronic sinusitis.

Conclusions: These results suggest that the anatomical variations of OMU, either singly or in combination, interfere with the normal air flow and mucociliary clearance and they may contribute development of unilateral sinusitis.

키워드

Unilateral sinusitis;Anatomical factors

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