抄録
The development of the granulation of the wound after the radical operation of chronic sinusitis is recognized as an important factor which affects the healing. In this report, the author observed the process of regeneration by means of tomogram, having regard to the pathological finding of the regenerative tissue.
He classified the process into next three stadium.
The first stadium; within five weeks after the operation. Incipient granulation tissue was observed in the operated paranasal cavity, and it increases gradually in thickness and density in tomogram.
The second stadium; next 3 to 4 monthes. Variation of the granulation became active, and various form of regenerated tissue was seen in tomogram. It generally had a discrimination bet-ween the good form (a-d, fig. 2) and the bad form (e-i, fig. 2).
The third stadium; next period the variation continued slowly.
He emphasized that the postoperative treatment of chronic sinusitis should be performed in consideration of the condition of disease before the operation and histological condition of regenerated tissue.
Antibiotics chiefly should be administered in the first stadium, for reason of prevention of the infection.
In the second stadium, cavity-syringe, anti-allergic treatment, and other active treatments, if necessary corrective operation should be performed.
In the third stadium, if subjective or objective symptoms remained, the patient should be radically treated.
He also made mention of the consequence of corrective operation or re-operation.
