1981 年 24 巻 4 号 p. 413-424,376
A total of 131 cases of chronic sinusitis were treated surgically. In some cases intense postoperative reactive inflammation occurred, and in others scar formation was seen postoperatively. The opening of the maxillary sinus created by endonasal operation tended to be stricture dinthe presence of severe chronic maxillary sinusitis.
In most cases, the maxillary sinus was cured with obliteration and reduction of the sinus cavity after Caldwell-Luc's operation. However, the most important thing is to correct ethmoid sinus. This is because the ethmoidal sinus is closely related with the drainage of the surrounding paransal sinuses. Therefore, it is necessary to treat postoperative lesions in the ethmoidal sinus: in other words, local and systemic drug therapy should be performed to control inflammations as early as possible and minor surgical correction should be performed to web formations, adhesions and granulation, Amongthe cases treated by exercising such cautions, control of inflammatory reactions in the early phase could be confirmed aftertreatment in 104 cases. In these cases, cure could be obtained with less scar formations. On the contrary, in 27 cases extensive scar formation was observed. However, it should be emphasized that even among 55 cases with severe scar formation, and granulation cure with open cavity could be obtained in 47 cases by performing minor corrective operations.
We consider that corrective procedures should be performed not merely as extended procedures of postoperative curettage of granulation of scar but rather as reconstructive measures to promote functional recovery.