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구개골 수직판 제거술을 통한 상악동 자연공 확장술

Other Titles
 Creation of Large Maxillary Sinus Ostium : A Modified Antrostomy Technique Removing Perpendicular Plate of Palatine Bone for Improved Patency 
Authors
 윤주헌  ;  홍정표 
Citation
 Journal of Clinical Otolaryngology, Head and Neck Surgery (임상이비인후과), Vol.11(1) : 73-77, 2000 
Journal Title
 Journal of Clinical Otolaryngology, Head and Neck Surgery (임상이비인후과) 
ISSN
 1225-0244 
Issue Date
2000
Keywords
Chronic maxillary sinusitis ; Middle meatal antrostomy
Abstract
Background and Objectives : Since the concept of functional sinus surgery and optical aids such as endoscopes and surgical microscopes have been introduced, more precise excision of pathologic lesions under a clear view has become popular in the treatment of chronic maxillary sinusitis. Although middle meatal antrostomy (MMA) is reported to be more effective than inferior meatal antrostomy, spontaneous closure rate of antrostomy opening is still high. This article aims to introduce our modified method of MMA capable of creating a considerably large antrostomy opening and to report our results for the patency of a surgically created maxillary sinus opening. Patients and method : A total of 50 procedures were performed in 46 patients with severe maxillary sinusitis. We applied our modified antrostomy techinque removing palatine bone for improved patency. Results : Our procedure proved very effective in maintaining the patency of the large antrostomy opening in 100% of cases. During the procedure, afterial bleeding, which was controlled without difficulty by electrocautery, was noted in four cases. Conclusion : Our modified MMA technique can be considered as an effective alternative surgical procedure for maintaining large MMA openings.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Joo Heon(윤주헌)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172494
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