만성 비부비동염 환자에서 부비동 내시경수술 후 비음도의 변화

나기상; XU JUN; 박지수; 박성제; 강영애; 김용민

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자료유형: 학술저널

저자정보: 나기상 XU JUN 박지수 박성제 강영애 김용민

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제3호

발행연도: 2017.1

수록면: 112 - 119 (8page)

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Background and Objectives The purpose of this study was to examine the effect of endoscopic sinus surgery (ESS) on nasalance in patients with chronic rhinosinusitis (CRS). Subjects and Method Eighty-one CRS patients were enrolled. The nasalance scores for oral, oro-nasal, and nasal passages were measured by nasometry and the nasal cavity volume was measured by acoustic rhinometry before and at 1 and 3 months after ESS. We divided the patients into four groups according to the following surgical interventions employed: unilateral anterior ethmoidectomy (group I), bilateral anterior ethmoidectomy (group II), bilateral total ethmoidectomy (group III), and bilateral pansinus surgery (group IV). We also divided the patients into three groups according to the CT scoring system and polyp grading system. Results In group III and IV, the nasalance scores for all passages and nasal cavity volume were significantly increased after ESS but did not return to its preoperative level at 3 months after surgery. However, there were no significant changes in nasalance scores or in the nasal cavity volume in group I. Similarly, there were no significant changes in nasalance scores in the mild group (CT scoring system) or no polyp group, whereas the nasalance scores were significantly increased postoperatively in the moderate to severe groups (CT scoring system), and in groups that have nasal polyp group. Conclusion The nasalance scores and nasal cavity volumes were increased after ESS and remained unchanged until postoperative 3 months. Postoperative changes in nasalance scores were more remarkable in patients who had more severe disease and who underwent more extensive surgery. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(3):112-9

#Endoscopic surgery #Nasal cavity #Nasal polyps #Sinusitis #Voice quality.

참고문헌 (20)

참고문헌 신청

Birkent H / 2009 / Relationship between nasal cavity volume changes and nasalance / J Laryngol Otol 123 (4) : 407 ~ 411

Cankurtaran M / 2007 / Acoustic rhinometry in healthy humans: accuracy of area estimates and ability to quantify certain anatomic structures in the nasal cavity / Ann Otol R

Chen MY / 1997 / Effects of sinus surgery on speech / Arch Otolaryngol Head Neck Surg 123 (8) : 845 ~ 852

Chen XB / 2011 / Aerodynamic characteristics inside the rhino-sinonasal cavity after functional endoscopic sinus surgery / Am J Rhinol Allergy 25 (6) : 388 ~ 392

Dalston RM / 1992 / Acoustic assessment of the nasal airway / Cleft Palate Craniofac J 29 (6) : 520 ~ 526

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