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Counter opening into the inferior meatus for radical operation of chronic sinusitis



Counter opening into the inferior meatus for radical operation of chronic sinusitis



Practica Otologica Kyoto (Suppl. 25): 53-57



A surgical procedure for chronic sinusitis has been established by Caldwell-Luc and Watsuji-Denker. However, the value of establishing a counter opening into the inferior meatus has been questioned mainly due to its effects on the postoperative healing process. Therefore, we compared the operation time, blood loss, postoperative cheek swelling and postoperative healing process on the same patient, with (left side) and without (right side) a counter opening. Forty patients who had radical treatment of chronic sinusitis on both sides were studied. Without the counter opening procedure the operation time was about 10 min. shorter and the blood loss was about 60 g less than that with the opening procedure. However, cheek swelling without the opening was slightly more than that on the other side. Obstructive healing of the maxillary sinus without it was about one month earlier than with it. In summary, creation of the counter opening may aggravate the early postoperative condition.

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Accession: 007165903

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DOI: 10.5631/jibirinsuppl1986.1988.supplement25_53


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