The Combined Middle and Inferior Antrostomy for Fungal Maxillary Sinusitis Treatment

被引:0
|
作者
Van Ngo, Cong [1 ]
Nguyen, Hoang [2 ,3 ]
Aklinski, Joseph [2 ]
Nguyen, Dung My Thi [4 ]
Le, Hoang Huy [4 ]
Le, Trang Thi Bich [5 ]
Nguyen, Hien Quang [5 ]
Huynh, Hong-Han [6 ,10 ,11 ]
Nhi, Le Huu Hanh [5 ,12 ]
Minh, Le Huu Nhat [7 ,8 ,9 ]
机构
[1] Cho Ray Hosp, Dept Otolaryngol Head & Neck Surg, Ho Chi Minh City 700000, Vietnam
[2] Nova Southeastern Univ, Dept Fdn Sci, Kiran C Patel Coll Osteopath Med NSU KPCOM, Clearwater, FL 33025 USA
[3] Univ Calif Los Angeles, Sch Med, Dept Preventat Med, Charles R Drew UCLA, Los Angeles, CA USA
[4] Univ Med & Pharm Ho Chi Minh City, Fac Otolaryngol, Ho Chi Minh City 700000, Vietnam
[5] Methodist Hosp, Cardiovasc Res Dept, Merrillville, IN 46410 USA
[6] Tan Tao Univ, Sch Biotechnol, Long An, Vietnam
[7] Taipei Med Univ, Coll Med, Int PhD Program Med, Taipei 110, Taiwan
[8] Taipei Med Univ, Res Ctr Artificial Intelligence Med, Taipei 106, Taiwan
[9] Univ Med Ctr, Emergency Dept, Ho Chi Minh City, Vietnam
[10] Taipei Med Univ, Coll Med Sci & Technol, Interdisciplinary & Translat Med Internship Traini, Taipei 110, Taiwan
[11] Taipei Med Univ, Coll Med Sci & Technol, Int Master Program Translat Sci, Taipei 110, Taiwan
[12] Univ Med & Pharm Ho Chi Minh City, Fac Med, Ho Chi Minh City 700000, Vietnam
关键词
Maxillary sinusitis; Fungal infection; Inferior meatal antrostomy; Endoscopic sinus surgery; Nasolacrimal duct; BALL; SURGERY; DIAGNOSIS;
D O I
10.1007/s12070-023-03863-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aims: The objective of this study is to assess the effectiveness of the combined middle and inferior meatal antrostomy (MIMA) in management of patients with maxillary fungal sinusitis. Material and Methods: Design: retrospective cross sectional study. Setting and subjects: From September 2018 to March 2021, fifty-five patients with non-invasive maxillary fungal sinusitis, who underwent transnasal endoscopic combined MIMA. Methods: The study compared patients' pre- and post-operative subjective symptoms, including nasal obstruction, discharge, facial pain or pressure, halitosis, anosmia, and other non-specific symptoms. Endoscopic characteristics of recurrent fungal maxillary sinusitis and postoperative complications were also observed. Closure of the IMA site was evaluated at three and six months post-surgery and patients were categorized into three groups based on closure degree. Results: All clinical symptoms, including nasal discharge, nasal obstruction, nasal pruritus, anosmia, halitosis, sneezing, facial pain, ophthalmic and otologic symptoms, were resolved over six months after combined MIMA in majority of cases (94 - 100%). After three and six months, the postoperative endoscopic evaluation revealed recurrent fungal maxillary sinusitis in 1.8% and 5.4% of cases, respectively. Partial stenosis of the inferior antrostomy was observed in 7.2% and 16% of cases, while complete stenosis was noted in 3.6% and 7.2% of cases after three months and six months. Conclusions: The combined MIMA is effective and has better outcomes than the medial meatal antrostomy approach alone without additional operative time.
引用
收藏
页码:2850 / 2855
页数:6
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