内視鏡下副鼻腔手術における中鼻甲介-鼻中隔の縫合固定

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タイトル別名
  • Middle Turbinate-septal Suture in Endoscopic Sinus Surgery
  • 臨床 内視鏡下副鼻腔手術における中鼻甲介-鼻中隔の縫合固定
  • リンショウ ナイシキョウ カ フクビコウ シュジュツ ニ オケル チュウ ビ コウカイ-ハナ チュウカク ノ ホウゴウ コテイ

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Endoscopic sinus surgery (ESS) has now become the standard treatment for medically refractory chronic sinusitis. The most frequently occurring complication is lateralization of the middle turbinate and synechia formation in the middle meatus, which increases the risk of recurrence of the sinusitis and may necessitate a revision surgery. Several methods have been reported so far to prevent synechia formation, and we used the septum stitch, which is a semiautomatic suturing device for suturing the nasal septum. At the end of the surgery, the middle turbinate was sutured to the nasal septum, thereafter, post operative lateralization of the middle turbinate and synechia formation were assessed 3 months after the surgery. No synechia formation was seen in 64.9% of the cases and 91% of the cases needed no extra treatment. The synechia formation was mostly seen in the upper part of the middle meatus. Middle turbinate-septal suturing medialization is effective for preventing lateralization of the middle turbinate and synechia formation after ESS.

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