副鼻腔炎洗浄用カテーテルによる局所療法

抄録

Guidelines for the treatment of sinusitis in our country, recommended washing catheters. Paranasal sinus washing therapy with the YAMIK catheter began in 1991 in Japan. This therapy was an epoch-making method as a paranasal sinus washing therapy to assume Proetz substituted principle. Unfortunately, in Japan, the availability of the YAMIK catheter became difficult in 2005.

However, the ENT-DIB sinusitis therapeutic catheter released in Japan In 2014. This new method is expected to show a similar treatment effect to YAMIK catheter that is considered to be useful as a choice of conservative medical treatment for rhinosinusitis. Briefly, we would like to present the washing method with the ENT-DIB sinusitis therapeutic catheter. First, insert the catheter into the nasal cavity after intranasal gauze anesthesia. Secondly, fix by inflating the balloons around both the nostril and choana. This procedure may change both nasal cavity and sinuses into a closed cavity. Finally, wash rhinosinuses with a supine position down to affected side by adding pressurization and depressurization from another channel to rhinosinuses.

In our study, there were a high improvements in acute sinusitis and paranasal mycosis cases. Chronic sinusitis and eosinophilic chronic rhinosinusitis also showed moderate improvements in several cases. This therapy, as an intermediate treatment between surgical therapy and conservative therapy, is considered to be capable of becoming a proactive choice for selected cases.

This method has the complexity of the maneuver. However, as an otorhinolaryngology specialist, it is considered as one of the procedures to be learned.