소아 상악동염에 대한 임상적 고찰 = 소아 상악동염에 대한 임상적 고찰

다국어 초록 (Multilingual Abstract)

In as much as the paranasal sinuses hide within the calarium, they are literally out of sight and too often out of mind even though sinusitis is common. The presence of copious purulent rhinorrhea may be labelled an upper respiratory tract infection even when the history suggests chronic duration. Frequently these children are dismissed as being just allergic. In this study, the authors analyzed 60 cases of maxillary sinusitis from the age of 1 year to 15 years who visited pediatric allergic clinic in Sowha Childrens Hospitsl due to chronic cough from Apr. 1, 1987 to Jul. 31, 1987. The results were as follows .' 1) Among the associated sllergic diseases, infantile eczema(46.7%) were most common followed by urticaria(83%), drug allergy(33%), exercise induced asthma(33%) and eczema(1.7%). 2) Rhinorrhea, nasal obstruction and postnasal drip were less common in patients of maxillary sinusitis with asthma than in those without asthma (o<0.05). 3) Total IgE were more frequently elevsted in patients of maxillary sinusitis with asthma(60. 0%) than in those without asthms(31.1%) (p> 0.05). 4) Total eosinophil counts in peripheral blood were more frequently elevated in patients of maxillary sinusitis with asthma(40.0 %) than in those without isthma(13.3%) (p>0.05). 5) All the patients of maxillary sinusitis with asthma gave positive skin tests to D. pteronyssinus and D. farinae, twelve(80.9%), to house dust but only five(11.1%) without asthma to D. pteronyssinus and D.farinae. Four(8.9%), to house dust. 6) As judged by Waters view taken after 2 weeks treatment with amoxicillin, thirty five patients (58.3%) were cured and sixteen(26.7%) improvecl Two patients who showed mucosal thickening above 6mm, three with mucosal cyst and twenty nine(60.4%) with total opacification were cured, but four(56.9%) with mucosal thickening from 2 to 6mm resulted in the treatment failure. Nine patients who failed the treatment were given with erythromycin and trimethoprim-sulfamethoxazole for another 2 weeks . Three(33.3%) were cured and four(44. 4%), improved.