Endoscopic sinus surgery in individuals with facial pain due to chronic maxillary sinusitis ? a functional controlled study

Arquivos de Neuro-Psiquiatria

Giuseppe Sanges¹  Mario Gamerra¹  Gerardo Sorrentino¹  Roberto De Luca¹  Maddalena Merone¹  Michele Feleppa¹  Marcelo Eduardo Bigal¹ 

关键词: facial pain;    nasal cavities;    manometry;    biophysical model;    endoscopic surgery;    dor facial;    cavidades nasais;    manometria;    modelo biofísico;    cirurgia endoscópica;   

DOI  :  10.1590/0004-282X20140092

来源: SciELO

【 摘 要 】

Objective:To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls. Method:Sinus manometry was performed 5 times during inhalation. Results:The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05). Conclusion:Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals.

【 授权许可】

CC BY   
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