Two Cases of Recalcitrant Chronic Rhinosinusitis Treated with Endoscopic Maxillary Mega-Antrostomy in Primary Ciliary Dyskinesia
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초록
Primary ciliary dyskinesia (PCD) results in several characteristic clinical symptoms, includingchronic pansinusitis, recurrent infections of the respiratory tract, and infertility. Concerningthe rhinologic aspect, medical therapy mainly involving a combination of long-term antimicrobialagents and intranasal steroid sprays can control sinusitis in the majority of cases. But, there are no definite treatment guidelines for recalcitrant chronic sinusitis with PCD. Recently,we examined a 28-year-old male with serous otitis effusion, chronic sinusitis, andbronchiectasis, and a 4-year-old female with chronic sinusitis and serous otitis effusion. Weconfirmed PCD by electron microscopy and endoscopic maxillary mega-antrostomy was performedin both cases for the treatment of chronic sinusitis that was refractory to conservativemanagement.
Abstract
Primary ciliary dyskinesia (PCD) results in several characteristic clinical symptoms, includingchronic pansinusitis, recurrent infections of the respiratory tract, and infertility. Concerningthe rhinologic aspect, medical therapy mainly involving a combination of long-term antimicrobialagents and intranasal steroid sprays can control sinusitis in the majority of cases. But, there are no definite treatment guidelines for recalcitrant chronic sinusitis with PCD. Recently,we examined a 28-year-old male with serous otitis effusion, chronic sinusitis, andbronchiectasis, and a 4-year-old female with chronic sinusitis and serous otitis effusion. Weconfirmed PCD by electron microscopy and endoscopic maxillary mega-antrostomy was performedin both cases for the treatment of chronic sinusitis that was refractory to conservativemanagement.
참고문헌 (12)
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