耳鼻咽喉科展望
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
再発性前頭洞炎についての補遺
高橋 良本郷 裕鬼川 広子
著者情報
ジャーナル フリー

1959 年 2 巻 2 号 p. 134-141,173

詳細
抄録

Recurrent frontal sinusitis is generally divided into two types, early and delayed, according to the time of manifestation of the recurrence of the disease. The incomplete opening of the ethmoid sinus, as well as leaving the mucosa within the frontal sinus, turned out to play a significant role in developing the postoperative recurrence of frontal sinusitis. The time of manifestation of the recurrence should be take into consideration in this disease, being associated with that of reinfection of the regenerated tissue in the ethmoid sinus.
The present paper deals with the main histopathological changes shown in the region of the mucosa left in the previously operated sinus. The operation findings were referred in each case of the materials presented here, to disclose the facorite site of the left mucosa in the sinus. The differential diagnosis was also considered here, between the recurrent frontal sinusitis and the case of paroxysmal pain of the frontal region with had been almost indistinguishable from the sinusitis, based on our clinical materials.
For the treatment of the disease, it is of utmost importance to make a thorough investigation of discovering the cause of the recurrence, although the changes in the sinus observed at reoperations were revealed to show marked variations of complexity. However, it appears that the presence of the left mucosa in the sinus, regarded as the most significant causative factor, should be taken into account in the first place, while the maintance of opening the fronto-ethmoidal route, as well as the preventive control of infection, assumes merely a secondary importance in the treatment of the disease.
Some cases of the delayed type of recurrent frontal sinusitis, which had underwent reoperations several times, were occasionally misled into “neurosis” at the time of examination. In such a case, it is advisable to make a careful management of control with cooperation of psychiatrist, referring the results of various examinations performed at the same time.

著者関連情報
© 耳鼻咽喉科展望会
前の記事 次の記事
feedback
Top