副鼻腔自然口開大処置の有用性とその評価

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  • EFFECTIVENESS OF WIDENING THE MIDDLE MEATUS IN PATIENTS WITH RHINOSINUSITIS

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To confirm the effectiveness of widening the middle meatus as a conservative treatment in outpatients with rhinosinusitis, we conducted two controlled studies in acute and chronic rhinosinusitis patients. The widening technique consisted of the application of a cotton swab or wool soaked with epinephrine to the middle meatus for about 5 minutes. Subjective symptoms and diagnostic images were then scored. Randomization was performed using sealed envelopes. The subjective symptom scores showed significant relief in both treatment groups. However the diagnostic imaging scores did not improved significantly in either treatment groups. We conclude that widening the middle meatus is useful for relieving symptoms in patients with rhinosinusitis.

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