干酪性鼻炎和干酪性鼻窦炎21例报告

Rhinitis and maxillary sinuitis caseosa

为提高临床对干酪性鼻炎和干酪性鼻窦炎的诊治水平，报告２１例（２４侧）此种患者的临床资料。方法：全部病例行手术治疗，术中清除局部不可逆病变——息肉、脓肿、干酪样物等。结果：１９例症状消失，自觉良好。结论：使鼻道通气引流通畅是使之痊愈的关键。

Objective:To investigate the effect of surgical procedures on patients with rhinitis caseosa and maxillary sinusitis caseosa. Method: The clinical analysis for 21 cases (24 sides ) were reported in this paper, there were 6 rhinitis caseosa, 13 maxillary sinusitis caseosa, 5 rhinitis and sinusitis caseosa, all patients had caseation material in the nasal cavity or sinus cavity. All patients were treated successfully by surgery, transmaxillary sinus microsurgery and the middle meatal antrostomy were performed for 12 cases. Result: 21 cases who were followed-up 3-5 years after surgery were disappearance for symptoms, and did not recurring. Conclusion: The key of surgery is to allow free drainage for sinus ostium.