韓國人 副鼻洞炎에 對한 臨床統計學的 考察

Abstract

[한글]

[영문]

Since Claudius Galen of Roman demonstrated the paranssal sinuses of human body in Ca. 130 - Ca. 120, a large body of knowledge on paranasal sinuses is available in the literatures. On looking over the literatures, no report was found as a statistical survey of paranasal sinusitis as this series in Korea. the author, therefore, reported the following series.

Thepaper presents a statistical survey of 373 cases of paranasal sinusitis in Koreans, who were confirmed the disease either way of clinical and radiological aspects, at the Otolaryngological clinic of Severance Hospital, Yonsei University

College of Medicine for past two years of 1963-1964 inclusively, and the results shows as follows.

1. Among 373 cases of paranasal sinusitis, the maxillary sinusitis is 303 cases (81.2 per cent), and the others were 24 cases (6.4 per cent) of maxilloethmoidal sinusitis, 10 cases (2.7 per cent) of maxillo-frontal sinusitis, and 35 cases (9.7 per cent) of pansinusitis.

In the series, age distribution as peak incidence is between 15-19 aged groups (126 cases, 33.8 per cent), and the average age of the cases is 21 years in male and 24 years in female. The sex ratio between male and female is about 1.6:1.

2. Generally the most prominent symptoms of paranasal sinusitis are nesal stuffiness (49.8 per cent), hyperrhinorrhea (38.7 per cent), and dull frontal headache (50.0 per cent), and the others were frontal headache, anosmia and impairment of memory on order.

3. According to the duration of the disease since onset, the average shown 2 years and 11 months (2 years and 8 months in male, and 2 years and 9 months in female), the median is 2 years below, and the mode is 1 year below to the duration. Also reviewed monthly distribution as peak incidence is in June (14.7 per cent), and seasonal distribution, in orderly incidence, shows as 31.3 per cent in summer, 26.5 per cent in winter, 26.4 per cent in spring and 15.8 per cent in autumn respectively.

4. Most frequent pathologic change of the nasal mucosa shows hypertrophy of the inferior turbinate (58.1 per cent), and the polyp and polypoid change of turbinate (18.4 per cent) which are more frequent in complicated sinusitis than simple sinusitis cases, and more common incidences in bilateral or left side of the nasal cavity than right one.

5. Characteristically, the most common rhinorrhea is mucoprulent in nature (221 cases, 59.2 per cent), and this seems to be shifted toprulent rhinorrhea in more complicated state than simple sinusitis in fact.

6. And also pathologic changes of the nasal mucosa was classified into the minimal, moderate and severe degree due on authors standards, the moderate group shows most common (163 cases, 43.7 per cent), and consequently the incidence of the

severs one shows more frequent in the complicated sinusitis. And very similar and paralleled conclusions was made both in radiological and clinical signs.

7. There is about 9.1 per cent (34 cases) of diagnostic difference between clinical and radiological findings. Clinically, 11 cases were diagnosed as sinusitis, but no sinusitis was verified by means of radiological finding, and the

left of 23 cases are counted as contrary way.

8. The sinusitis combined the septal deviation in this series revealed 42 cases(11.2 per cent), including 15 cases (35.7 per cent) was deviated to right side, 23 cases (54.8 per cent) to left, and 4 cases (9.5 per cent) of sigmoid form deviation.

9. among the whole 373 cases, 186 cases (49.9 per cent) had surgical treatment. Of them 111 cases (59.8 per cent) received Caldwell-Luc operation, 51 cases (27.4 per cent) of Intra-nasal antrostomy, and 24 cases (12.9 per cent) of Sinus Puncture and Irrigation.