López LE, López DE, Astor FC, Robles MB, Saavedra MJL, Troyo SR, Jiménez HÉG

Language: Spanish
References: 10
Page: 12-16
PDF size: 129.25 Kb.

ABSTRACT

Background: Lower antrostomy in surgery of the maxillary sinus used to be a common choice in the procedure known as Caldwell-Luc.
Objective: To describe the scar healing process in lower antrostomy performed in endoscopic surgery.
Material and method: Descriptive, longitudinal and prospective study. 15 Otolaryngology Unit patients were under observation. Independent variable: patients with a background of endoscopic surgery of the maxillary sinus that were subject to lower antrostomy of less than a centimeter and had a postoperative period longer than 28 days. Dependent variable: postoperative development of the size of the fenestration after 28 days. Intervening variables: age, gender, histopathological diagnosis and postoperative features of the size of the fenestration after 28 days. A chi-square test was used in the statistical analysis (=47.111, p‹0.001)
Results: The most frequent pathology was sinusitis and the most often found postoperative bone fenestration size was 5 mm in 53.3% of cases. That is to say, bone fenestration lowered 50% and the healing process closed totally the mucosa membrane in 100% of cases.
Conclusions: In the fenestration performed during the lower antrostomy, the mucosa membrane heals in all cases after 28 days and the bone fenestration closes in 50% of cases and so we can state that this is a useful choice in endoscopic surgery of the maxillary sinus.

REFERENCES

1. Han JK, Smith TL, Loehrl TA, Fong KJ, Hwang PH. Surgical revision of the post-Caldwell-Luc maxillary sinus. Am J Rhinol 2005;19(5):478-482.

2. Antrostomía maxilar o Caldwell-Luc. Consentimiento informado. Clínica Moncloa, 2004. Disponible en: http://www.clinicamoncloa.org/consentimientos/ORL/Antrostomia%20maxilar%20o%20Caldwell-Luc.pdf

3. López Demerutis E, López Lizárraga E. Sinusitis maxilar infecciosa crónica manejada con Caldwell-Luc bajo visión microscópica, revisión etmoidal anterior y revisión endonasal. 25 casos. An Orl Mex 1991;36(3):241-245.

4. Cárdenas ML. Estandarización de la actividad mucociliar por medio de isótopos radioactivos en senos maxilares de pacientes sin patología sinusal. Disponible en: http://www.encolombia.com/otorrino271_.estandar.htm

5. Hernández Rodríguez MR, López Lizárraga E. Fisiología de la nariz y senos paranasales. En: López Lizárraga E, editor. Otorrinolaringología práctica. Guadalajara: Editorial Cuéllar Ayala, 2010;33-38.

6. Cicatrización. En: Wikipedia, la enciclopedia libre (información actualizada el 29 de enero de 2012). Disponible en: http://es.wikipedia.org/wiki/Cicatrizaci%C3%B3n

7. Stammberger HR, Kennedy DW. Paranasal sinuses:anatomic terminology and nomenclature. The Anatomic Terminology Group. Ann Otol Rhinol Laryngol Suppl 1995;167:7-16.

8. Tamayo y Tamayo M. Diccionario de la investigación científica. 2ª ed. Ciudad de México: Editorial Limusa, 2004;150-151.

9. Sábada B, Fernández V, Honorato J. Metodología y tipos de ensayos clínicos con medicamentos. En: Curso de farmacología clínica aplicada. Disponible en: http://2011.elmedicointeractivo.com/farmacia/temas/tema19-20-21/ec.htm

10. Ruiz-Rico F, Vicedo JL, Rubio Sánchez MC. Enfermedades de los senos paranasales. Disponible en: http://www.lookfordiagnosis.com/results.php?symptoms=Enfermedades+De+Los+Senos+Paranasales&lang=2&parent=%2F&mode=F