The effects of uncinectomy and natural ostial dilatation on maxillary sinus ventilation: a clinical experimental study.
The purpose of this study was to determine the effect of uncinectomy without sinusotomy and natural ostial dilatation on maxillary sinus ventilation in chronic rhinosinusitis. Twenty patients with chronic rhinosinusitis were included in this study. The patients were randomly divided into two groups. Group 1 consisted of patients with uncinectomy (n = 10), while group 2 was made up of patients treated with natural ostial dilatation (n = 10). The CO(2) tension and pressure levels of the maxillary sinus during inspiration and expiration phases were obtained and compared before and after the procedures within and between the groups. The mean CO(2) tension levels in both groups were significantly decreased after the procedures. The mean maxillary sinus pressure during inspiration was significantly decreased to a negative value after uncinectomy; however, no significant change was observed during expiration. There were no significant changes in maxillary sinus pressures after natural ostial dilatation procedure. Both uncinectomy and natural ostial dilatation seem to be equally effective in decreasing maxillary sinus pCO(2) levels. The effects of decreased maxillary sinus pressure during inspiration after uncinectomy on mucociliary clearance and development mechanisms of chronic rhinosinusitis seem to be worth investigating.
ENT-1 Department, Ankara Ataturk Training and Research Hospital, Bilkent Yolu No: 3 Çankaya, Ankara, 06800, Turkey.
Ahmet
A
Kutluhan
Mehti
M
Şalvız
Kazım
K
Bozdemir
Orhan
O
Kanbak
Mustafa
M
Ulu
Gökhan
G
Yalçıner
Akif Sinan
AS
Bilgen
D000293:Adolescent; D000328:Adult; D002245:Carbon Dioxide / Q000032:analysis; D002908:Chronic Disease; D004108:Dilatation, Pathologic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D015523:Maxillary Sinusitis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011446:Prospective Studies; D012119:Respiration; D012220:Rhinitis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
D002245:Carbon Dioxide