• 제목/요약/키워드: Chronic Sinusitis

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後鼻漏를 主訴로 한 慢性 副鼻洞炎 患者의 治驗 1例 (A Case Report of Chronic Paranasal Sinusitis Who Complains Postnasal Drip)

  • 김창환;선영재;임웅경;김현기
    • 한방안이비인후피부과학회지
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    • 제16권2호
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    • pp.244-248
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    • 2003
  • Paranasal sinusitis is a common disease in the otorhinolaryngology area. It is the change of inflammation at the mucous membrane which surrounds paranasal sinus. Chronic paranasal sinusitis is a chronic inflammation disease with purulent, mucous rhinorrhea, postnasal drip and cough. The attacked period continues above three months and it repeats exacerbation and remission. We diagnosed and treated an outpatient who complains postnasal drip of chronic paranasal drip of chronic paranasal sinusitis based on the Oriental medical theories and had good result.

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한방 요법으로 치료된 소아 만성 부비동염 33례에 대한 후향적 연구 - 부비동 단순 X선 촬영을 이용하여 (A Retrospective Study of Chronic Sinusitis in Children Treated by Korean Medicine - Using Paranasal Sinus Water's View)

  • 최선희;박은정
    • 대한한방소아과학회지
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    • 제33권3호
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    • pp.69-81
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    • 2019
  • Objectives The purpose of this study is to examine 33 cases of chronic sinusitis in children who were treated with Korean medicine. Methods Herbal medicine, acupuncture, and nebulizer and laser therapy were used to treat chronic sinusitis, and a plain radiography (paranasal sinus water's view) was used to confirm improvement of the children's sinusitis. Then, the data was classified by sex, age, frequency and duration of common cold, severity of sinusitis, duration of treatment, pattern identification and so on. Results There were 72.7% boys and 27.3% girls. The average age of children is $4.48{\pm}2.18years$. 70% of the children had common cold more than once a month, and 85.1% of the children from the study group had common cold lasting more than a week. The sinusitis severity score ranged from 10 to 200. 81.8% were more than 100. Duration of the treatment was $157.21{\pm}83.4day$, duration of herbal medicine treatment was $79.3{\pm}31.23day$, rate of herbal medicine was $62.12{\pm}29.21%$. The frequency of acupuncture, nebulizer and laser therapy ranged from 1 time to 11 times but was much lower than expected. Conclusions 33 cases of chronic sinusitis in children were treated with Korean medicine, and cure of the illness was confirmed by PNS water's view, and clinical characteristic of the patients with chronic sinusitis was analyzed.

상악동염이 있는 안와 하벽 골절에서 예방적 항생제의 중요성 (Antibiotic Prophylaxis' Effect on Enophthalmos in Orbital Floor Fracture with Chronic Maxillary Sinusitis)

  • 성형우;김진우;신한경;정재학;김영환;선욱
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.67-71
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    • 2008
  • Purpose: Orbital floor fracture has open wound to maxillary sinus and if the patient has chronic maxillary sinusitis, it may be have more risk of infection, complications. The purpose of this comparative study is to be the effectiveness of prophylactic antibiotics in orbital floor fracture with chronic maxillary sinusitis. Methods: We studied 20 patients who diagnosed as orbital floor fracture with chronic maxillary sinusitis from march, 2005 to may, 2006. Among them 16 were male, 4 were female and age was ranged from 15 to 68, average was 42. A day before operation, Prophylactic antibiotics were used to 10 patients. Prophylactic antibiotics were not used to 10 patients. We defined control group as prophylactic antibiotics injection group a day before operation. After surgery, we confined use of same antibiotic for 7 days in both group. After 6 month from surgery, we compare the degree of enophthalmos from healthy side to legion side with hertel exopthalmometry(Inami, Japan) in control group and non-prophylactic antibiotics injection group. Results: In control group, comparison of discrepancy between enophthalmic eyeball and normal eyeball with Hertel exophthalmometer was 1.1 mm and non-prophylactic antibiotics injection group was 2.1 mm. In independent sample t-test, control group was showed statistically significant difference with non-prophylactic antibiotics injection group(p=0.007). Conclusions: In orbital floor fracture with chronic maxillary sinusitis, bacteria in maxillary sinus can increase post-operative complication by infecting infraorbital soft tissue, and it is thought to be antibiotic prophylaxis is play a role in decrease in degree of enophthalmos. We feel the need to further study of prophylactic antibiotics in orbital floor fracture with chronic maxillary sinusitis.

미세먼지(PM10, PM2.5) 농도가 급성/만성 부비동염의 환자 수에 미치는 영향 (The Correlation between Fine Dust(PM10, PM2.5) and The Number of Acute/Chronic Sinusitis Patients)

  • 장영우;김정윤;김혜경;임승환
    • 한방안이비인후피부과학회지
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    • 제31권3호
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    • pp.1-11
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    • 2018
  • Objectives : The purpose of this study is to analyze the correlation between fine dust(PM10.5, PM2.5) and the number of acute/chronic sinusitis patients. Methods : A simple regression analysis was performed based on the concentration of PM10 and PM2.5 as independent variables and the number of acute/chronic sinusitis patients as dependent variables. Results : As a result of simple regression analysis, if PM10 increases by $1{\mu}g/m^3$, the number of acute sinusitis patients increases by 7,000.291(P<.001, 95%CI :4,951.983-9,048.600). If PM2.5 increases by $1{\mu}g/m^3$, the number of acute sinusitis patients increases by 17,524.476.(P<.001, 95%CI:9,728.725-25,320.228) In addition, PM10 increases by $1{\mu}g/m^3$, the number of acute sinusitis patients increases by 3,163.471 (P<.001, 95% CI:2,268.642-4,058.301). If PM2.5 increases by $1{\mu}g/m^3$, the number of chronic sinusitis patients increases by 8,651.644.(P<.001, 95%CI:5,115.697-12,187.592) Conclusions : Both PM10 and PM2.5 are correlated with changes in the number of sinusitis patients. PM2.5 has effect on the number of patients than PM10. PM10 is the highest correlation in their 50s, PM2.5 in their 60s and 70s.

세포교정영양요법(OCNT)을 이용한 부비동염 개선 사례 연구 (A Case Study on the Improvement of Sinusitis Using Ortho-Cellular Nutrition Therapy (OCNT))

  • 정혜정
    • 셀메드
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    • 제14권1호
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    • pp.63.1-63.3
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    • 2024
  • Objective: Report on the improvement of sinusitis through Ortho-Cellular Nutrition Therapy. Methods: A Korean male in his 60s suffering from sinusitis. Results: Improvement observed in sinusitis after the implementation of the nutrition therapy. Conclusion: Nutrition therapy can be beneficial for patients suffering from sinusitis.

비부비동염과 혈압의 상관관계 (Relationship between Chronic Rhinosinusitis and Blood Pressure)

  • 서윤태;김덕수;길부관;신승헌;예미경
    • 임상이비인후과
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    • 제29권2호
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    • pp.182-189
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    • 2018
  • Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.

소아비연(小兒鼻淵)에 대(對)한 임상적(臨床的) 연구(硏究) (The Clinical Study of Biyun(sinusitis) in Children)

  • 박은정;이해자
    • 대한한방소아과학회지
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    • 제12권1호
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    • pp.111-131
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    • 1998
  • 1. In oriental medicine, the case of sinusitis can be explained, not only external invasion such as PUNG HAN(wind-cold), PUNG YUL(wind-hot), SHUP YUL(damp-heat), but also functional disorder of internal organ such as spleen(脾), lung(肺), kidney(腎) The western medicine classified the cause of sinusitis as two factors. That is bacterial infection factor-Haemophilus influenza, streptococcus pyogeues, streptococcus pneumonia- and viral infection factor-Rhinovirus, parainfluenza, Echo28, Coxsacki21, Sinusitis is complicated to allergic rhinitis, chronic otitis media purulent, chronic tonsilitis, sinubronchitis. On the condition of nasal septum deformity, turbinates deformity, nasal septum deviation, sinusitis can be developed. the predisposing factors of sinusitis is swimming, air pollution, malnutrition, shortage of immunity.2. According to survey, sinusitis occurred that children from 4 to 12 years old and from 5 to 7 years old occupied 70% 3. From the past history data, they experienced chronic tonsillar hypertropy(20%), otitis media, atopic dermatitis, allergic rhinitis, bronchial asthma, pneumonia, bronchiolitis, chronic sore throat, urticaria, milk allergy in sequence. 4. the symptoms of sinusitis is nasal obstruction, postnasal dripping, purulunt(yellow)or white discharge, cough, nose bleeding in sequence. nasal obstruction take the portion of 95%, postnasal dripping 65%, night time or early morning cough 60%. 5. The suffering period of sinusitis is 6 month minimum, 4 years maximum, most cases are included in a year. The suffering period of children was shorter than adult. 6. Diagnosis depend on inspection of nasal cavity, postnasal dripping, X-ray finding. 75% of patient(15case) showed both maxillary sinusitis, 25%(5cases) showed left or right maxillary sinusitis. 7. Treatment of oriental medicine, consist of Herb-medicine, acupuncture and exposing of Lazer beam. Kamihyunggyeyungyotang(加味荊芥蓮翹湯) is administered mainly as the medical therapy, Kamigwaghyangjeungkisan(加味藿香正氣散) Kimizwakwieum(加味左歸飮), Kamihyangsosan(加味香蘇散) is administered for a additional symptoms which occurred by influenza recurrence. Kamijeonxibackchulsan(加味錢氏白朮散) is administered to treat gastro-intestine trouble patients who have sinusitis. 8. The period of treatment is varied with patient conditions and X-ray finding. The minimal period is 35days, maximal period is 202days. So it took about 86days in average and about 50% of patient(10cases) is recovered in one or two month.

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한의약 치료로 호전된 만성부비동염으로 인한 후각장애 2례 (2 Cases of Olfactory Disorders due to Chronic Sinusitis treated with Korean Medical Treatment)

  • 강세현;박중군;강동원;김윤범;남혜정;김규석;김봉현
    • 한방안이비인후피부과학회지
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    • 제31권4호
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    • pp.96-107
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    • 2018
  • Objectives : The purpose of this study is to report the effect of Korean medicine on olfactory disorders due to chronic sinusitis. Methods : Two patients with chronic sinusitis complaining of olfactory disturbances, nasal obstruction, and purulent discharge were treated with herbal medicines and acupuncture treatment. The nasal endoscopic examination and paranasal sinuses x-ray series (PNS x-ray) were performed. In addition, numeral rating scale (NRS) of olfactory disturbances and degrees of nasal obstruction and purulent discharge were evaluated. Results : In cases 1 and 2, NRS of olfactory disturbances decreased from 9 to 1. Nasal obstruction and purulent discharge decreased to no symptoms or intermittent level at moderate or severe level. The endoscopic findings and PNS x-ray findings were improved after treatments. Among various treatments of Korean medicine, Gamitonggyu-tang may play a crucial role in the reduction of sinusitis and olfactory disorders. Conclusions : This case report can be used as a basis for the use of Korean medicine, Gamitonggyu-tang, for olfactory disorder due to chronic sinusitis.

초음파를 이용한 만성 부비동염의 치료연구 (The Effects of the Ultrasound on Treatment of Chronic Sinusitis)

  • 허성귀;임원식;배성수
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.55-62
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    • 2002
  • The purpose of this study was to determine the effects of the ultrasound on treatment of chronic sinusitis. 24 persons of men and women with chronic sinusitis divided into three groups of each 8 persons randomly and when were they were treated with the medication, the ultrasound(1MHz continuous wave, 1W/$cm^2$ intensity, three times per a week and once of three minutes circular stroke method) and the medication+ultrasound for 2, 4, 6 and 8 weeks. The results of this study were ad follows. 1. There was not statistical significant differences between the effects of treatment until two weeks(P>.05). 2. There was statistical difference between the effects of treatment after 4 weeks, 6 weeks and 8 weeks(P<.05). There was statistical significant difference between the group with ultrasound treatment and the group with ultrasound+medication treatment and there was statistical significant difference between the group with medication treatment and the group with ultrasound+medication treatment but there was not statistical significant between the group with ultrasound treatment and the group with medication treatment. 3. After 4 weeks, the highest effect for chronic sinusitis was group

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성인 부비동염의 채발율에 대한 임상적 고찰 (A Clinical Study for Recurrence Rate of Chronic Paranasal Sinusitis in Adults)

  • 구영희;이규진
    • 대한한의학회지
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    • 제27권3호
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    • pp.227-240
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    • 2006
  • Objective: To know the recurrence rate of paranasal sinusitis in adults using follow-up investigations. Method: Data was collected from 37 patients who were treated in the Department of Ophthalmology & Otolaryngology & Dermatology, Kangnam Oriental Medical Hospital from 2001-10-01 to 2005-05-31 for chronic paranasal sinusitis in adults over 21 years of age. Results & conclusions: 1. The males made up 51.4% and females made up 48.6%. The recurrence rate was 78.4%. 2. By residence, 78.4% lived in apartments; 21.6% lived in houses. 3. Of the main symptoms, nasal obstruction was the most common. 4. The duration of the disease was within 1 month to 40 years; the group with difficulties within the last 5 years made up the largest group. 5. The patients who had chronic nasal family histories made up 40.5%; Patients who didn't have chronic nasal family histories made up 59.5%. 6. In regards to the period of Tx distribution. the group treated within 4 weeks made up the largest group at 54.1%. 7. As far as methods of Tx distribution, the group of patients treated with herbal medicine and acupuncture were larger (62.2%) than the group treated with only herbal medicine (37.8%). 8. The most common nasal condition symptom in patient histories was chronic rhinitis. 9. The most frequent areas affected by paranasal sinusitis on PNS images were the lateral maxillary sinus, the unilateral maxillary sinus and the ethmoidal sinus. 10. The number of patients who drank little was larger (75.7%) than the number of drinking patients(24.3%); There were more non-smoking patients (78.4%) than smoking patients(16.2%). 11. The patients who slept for 6-7 hours made up the larger group (40.5%). 12. The number of patients who preferred warm water was larger making up 54.1 %; the number of patients that preferred cool water made up 21.6%. 13. The patients who had a common cold 3-5 times a year was the largest group at 54.1%.

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