만성 비부비동염 환자에서 부비동 내시경수술 후 비음도의 변화
Nasalance Changes after Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis
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Background and Objectives The purpose of this study was to examine the effect of endoscopic sinus surgery (ESS) on nasalance in patients with chronic rhinosinusitis (CRS). Subjects and Method Eighty-one CRS patients were enrolled. The nasalance scores for oral, oro-nasal, and nasal passages were measured by nasometry and the nasal cavity volume was measured by acoustic rhinometry before and at 1 and 3 months after ESS. We divided the patients into four groups according to the following surgical interventions employed: unilateral anterior ethmoidectomy (group I), bilateral anterior ethmoidectomy (group II), bilateral total ethmoidectomy (group III), and bilateral pansinus surgery (group IV). We also divided the patients into three groups according to the CT scoring system and polyp grading system. Results In group III and IV, the nasalance scores for all passages and nasal cavity volume were significantly increased after ESS but did not return to its preoperative level at 3 months after surgery. However, there were no significant changes in nasalance scores or in the nasal cavity volume in group I. Similarly, there were no significant changes in nasalance scores in the mild group (CT scoring system) or no polyp group, whereas the nasalance scores were significantly increased postoperatively in the moderate to severe groups (CT scoring system), and in groups that have nasal polyp group. Conclusion The nasalance scores and nasal cavity volumes were increased after ESS and remained unchanged until postoperative 3 months. Postoperative changes in nasalance scores were more remarkable in patients who had more severe disease and who underwent more extensive surgery. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(3):112-9
Abstract
Background and Objectives The purpose of this study was to examine the effect of endoscopic sinus surgery (ESS) on nasalance in patients with chronic rhinosinusitis (CRS). Subjects and Method Eighty-one CRS patients were enrolled. The nasalance scores for oral, oro-nasal, and nasal passages were measured by nasometry and the nasal cavity volume was measured by acoustic rhinometry before and at 1 and 3 months after ESS. We divided the patients into four groups according to the following surgical interventions employed: unilateral anterior ethmoidectomy (group I), bilateral anterior ethmoidectomy (group II), bilateral total ethmoidectomy (group III), and bilateral pansinus surgery (group IV). We also divided the patients into three groups according to the CT scoring system and polyp grading system. Results In group III and IV, the nasalance scores for all passages and nasal cavity volume were significantly increased after ESS but did not return to its preoperative level at 3 months after surgery. However, there were no significant changes in nasalance scores or in the nasal cavity volume in group I. Similarly, there were no significant changes in nasalance scores in the mild group (CT scoring system) or no polyp group, whereas the nasalance scores were significantly increased postoperatively in the moderate to severe groups (CT scoring system), and in groups that have nasal polyp group. Conclusion The nasalance scores and nasal cavity volumes were increased after ESS and remained unchanged until postoperative 3 months. Postoperative changes in nasalance scores were more remarkable in patients who had more severe disease and who underwent more extensive surgery. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(3):112-9
참고문헌 (20)
- Hosemann W, "Influence of endoscopic sinus surgery on voice quality", Eur Arch Otorhinolaryngol, 255(10), pp.499~503 (1998)
- Masuda S, "Role of the maxillary sinus as a resonant cavity", Nihon Jibiinkoka Gakkai Kaiho, 95(1), pp.71~80 (1992)
- Keir J, "Why do we have paranasal sinuses?", J Laryngol Otol, 123(1), pp.4~8 (2009)
- Havel M, "Resonator properties of paranasal sinuses: preliminary results of an anatomical study", Rhinology, 52(2), pp.178~182 (2014)
- Kim CS, "Analysis of changes in nasal formant, spectra and resonant volume in rhinosinus after endoscopic sinus surgery", Korean J Otolaryngol-Head Neck Surg, 43(11), pp.1208~1215 (2000)
- Chen MY, "Effects of sinus surgery on speech", Arch Otolaryngol Head Neck Surg, 123(8), pp.845~852 (1997)
- Hong KH, "The assessment of nasality with a nasometer and sound spectrography in patients with nasal polyposis", Otolaryngol Head Neck Surg, 117(4), pp.343~348 (1997)
- Dhong HJ, "Effects of endoscopic sinus surgery on nasality", Korean J Otolaryngol Head Neck Surg, 42(7), pp.871~875 (1999)
- Soneghet R, "Nasalance changes after functional endoscopic sinus surgery", J Voice, 16(3), pp.392~397 (2002)
- Jiang RS, "Changes in nasal resonance after functional endoscopic sinus surgery", Am J Rhinol, 20(4), pp.432~437 (2006)
- Kim YH, "Nasalance change after sinonasal surgery: analysis of voice after septoturbinoplasty and endoscopic sinus surgery", Am J Rhinol Allergy, 27(1), pp.67~70 (2013)
- Kim SD, "Changes and recovery of voice quality after sinonasal surgery", Eur Arch Otorhinolaryngol, 272(10), pp.2853~2859 (2015)
- Lund VJ, "Staging in rhinosinusitus", Rhinology, 31(4), pp.183~184 (1993)
- Vendelo Johansen L, "The effect of budesonide (Rhinocort) in the treatment of small and medium-sized nasal polyps", Clin Otolaryngol Allied Sci, 18(6), pp.524~527 (1993)
- Park M, "Nasalance scores for normal Korean-speaking adults and children", J Plast Reconstr Aesthet Surg, 67(2), pp.173~177 (2014)
- 박성제, "만성 비부비동염 환자의 비음도 분석", Journal of Rhinology, 23(1), pp.31~38 (2016), 대한비과학회
- Chen XB, "Aerodynamic characteristics inside the rhino-sinonasal cavity after functional endoscopic sinus surgery", Am J Rhinol Allergy, 25(6), pp.388~392 (2011)
- Birkent H, "Relationship between nasal cavity volume changes and nasalance", J Laryngol Otol, 123(4), pp.407~411 (2009)
- Cankurtaran M, "Acoustic rhinometry in healthy humans: accuracy of area estimates and ability to quantify certain anatomic structures in the nasal cavity", Ann Otol Rhinol Laryngol, 116(12), pp.906~916 (2007)
- Dalston RM, "Acoustic assessment of the nasal airway", Cleft Palate Craniofac J, 29(6), pp.520~526 (1992)