부비동 내시경 수술에서 중비도 유착 방지를 위한실라스틱의 유용성

Abstract

Background and Objectives：Lateral synechia formation betwen the middle turbinate and the lateral nasal wall is one of the make meticulous postoperative dresing difficult during healing period, and consequently increases the risk of synechia and recur-rence of sinusitis. The aim of this study was to investigate whether insertion of the silastic sheet in the midle meatus can effectively prevent the synechia formation. Subjects and Method：Twenty eight patients (31 sides including 3 bilateral cases) with unstable ed in fan-shape and inserted betwen the middle turbinate and the lateral nasal wall. The silastic shet was secured to the caudal sep-tum and removed 2 to 3 weks after the operation. We performed a follow-up study for 5 months and investigated the ocurence rate of synechia. Results：The success rate of our method was 90.3% and synechia in the middle meatus developed in 3 of 31 sides (9.7%). Although synechia between the middle turbinate and nasal septum occured in 4 sides, the patients did not complain of olfactory disturbance. ：The results of this study suggest that insertion of the silastic sheet in the midle meatus can be a useful method in the prevention of lateral synechia formation when unstable and floppy middle turbinate has developed during endoscopic sinus surgery. (Korean J Otolaryngol 207 ;50 :48-52)