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[Treatment of non-invasive aspergillosis of maxillary sinus by functional endoscopic sinus surgery]
1Department of Otorhinolanyngology, Affiliated Hospital of Nanjing Railway Medical College, Nanjing 210009.
Objective:
To evaluate the treatment of non-invasive aspergillosis of the maxillary sinus by using functional endoscopic sinus surgery (FESS) and the correlated factors that affect the treatment.
Method:
41 cases of local, non-invasive aspergillosis of the maxillary sinus undergone FESS were studied.
Result:
The period of convalescence of double pathway (via ostium of maxillary sinus and canine fossa) was 4.7 weeks while single pathway (via ostium of maxillary sinus only) was 9.3 weeks. There was significant difference (P < 0.01). The period of convalescence of group using anti-fungal drugs to wash the operative cavity was 6.4 weeks while the group without using drugs was 6.7 weeks. There was no statistic significance (P > 0.05).
Conclusion:
FESS is effective in treating of non-invasive aspergillosis of the maxillary sinus. The operation of double pathway is superior to that of single pathway. Whether to use antifungal drugs to wash the operative cavity has no obvious effect on the efficacy.