アデノトミー施行による鼻副鼻腔炎の術前・術後の臨床効果の検討
1988 年 31 巻 3 号 p. 325-328
詳細
1988 年 31 巻 3 号 p. 325-328
It is said that pharyngeal tonsils physiologically become swollen at age 4 to 5, reaching peak levels at age 6-7 and shrinking in later years. Adenoid hypertrophy which is a pathologic enlargement of pharyngeal tonsil has been a subject for debate because it is suspected of being closely associated with development of sinusitis in children. This paper discusses the clinical effect of adenotomy that was performed on children with sinusitis.
The subjects were 38 children who had sinusitis during the past one year. The subjective symptoms (nasal obstruction, snoring), objective symptoms (nasal discharge, swelling of the concha nasalis inferior), and tomographic findings of the paranasal sinus were graded in four steps (+ + +, + +, +, -) 3 months before and after adenotomy.
The rate of moderate or better improvement after adenotomy was 89.5%(34/38) for nasal obstruction, 85.8%(24/28) for snoring, 57.9%(32/38) for nasal discharge, 60.0%(21/35) for swelling of the concha nasalis inferior, and 71.1%(27/38) for tomograms of the paranasal sinus.
Our results seem to justify our conclusion that adenotomy provides an effective therapeutic tool for sinusitis.
