술후성 협부 낭종에 대한 임상적 분석 : 10년의 경험
A Clinical Analysis of Postoperative Cheek Cyst : 10-Year Experience
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초록
본 연구를 통해 술후성 협부 낭종에 대한 재수술의 분석을 통해 두가지 사항에 대해 생각할 수 있었다. 첫째, 다발성 낭종에 대한 가능성을 염두하고 세심하게 부비동 단층촬영영상에 대한 관심을 가져야 할 것으로 생각된다. 둘째, 술후성 협부 낭종의 하비도내에서 돌출형태를 확인한후 하비도내로 충분히 돌출된 낭종은 하비도 접근으로 해결이 되면 수술 후 배액공의 유지가 잘 될 가능성이 많으나 낭종이 돌출되지 않은 경우 시간이 지남에 따라 배액공의 폐쇄될 가능성을 염두 해야 할 것으로 생각된다. 만약 하비도 배액공의 폐쇄 가능성이 많은 경우 본 연구에서처럼 T자 형태의 튜브를 위치시킴으로써 폐쇄의 가능성을 줄일 수 있을 것으로 생각된다.
Abstract
The aim of this study was to evaluate the clinical analysis of postoperative cheek cyst for past 10 years and causes of revision surgery. Subjects and Methods：The study design was a retrospective clinical series. We reviewed the medical records of 45 cases (43 patients : both cases in two patients) with postoperative cheek cyst who were diagnosed and treated from 1999 to 2009. Results：The patients underwent middle and/or inferior meatal antrostomy with or without Caldwell-Luc operation. All patients were followed at least for more than 24 months after surgery, and revision surgeries were noted in 9 cases (20%). Of the 9 cases in revision surgery, the obstruction of inferior meatal antrostomy site in 7 cases and remained cyst from multiple septated cysts in 2 cases were showed. Conclusion：In order to avoid of revision surgery for postoperative cheek cysts, we should carefully review of paranasal computed tomography scan findings such as bulging state of the cyst into the inferior meatus and presence multiple septated cysts.
참고문헌 (12)
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