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Osteitis in Eosinophilic Chronic Rhinosinusitis.
Tsuda, Takeshi; Takeda, Kazuya; Terada, Risa; Tanaka, Shohei; Waki, Sadanori; Akama, Toshiyuki; Nishimura, Hiroshi.
Afiliación
  • Tsuda T; Department of Otorhinolaryngology, 13707National Hospital Organization Osaka National Hospital, Osaka, Japan.
  • Takeda K; Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
  • Terada R; Department of Otolaryngology, 38158Kindai University Faculty of Medicine, Osaka, Japan.
  • Tanaka S; Department of Otorhinolaryngology, 13707National Hospital Organization Osaka National Hospital, Osaka, Japan.
  • Waki S; Department of Otorhinolaryngology, 13707National Hospital Organization Osaka National Hospital, Osaka, Japan.
  • Akama T; Department of Otorhinolaryngology, 13707National Hospital Organization Osaka National Hospital, Osaka, Japan.
  • Nishimura H; Department of Otorhinolaryngology, 13707National Hospital Organization Osaka National Hospital, Osaka, Japan.
Ear Nose Throat J ; : 1455613221083793, 2022 Mar 30.
Article en En | MEDLINE | ID: mdl-35353655
ABSTRACT

OBJECTIVES:

Eosinophilic chronic rhinosinusitis (ECRS) is an allergic inflammatory disease characterized by chronic inflammation of the sinus mucosa, and sometimes, osteitis. This study aimed to investigate the pattern of osteitis in ECRS and the relationship between bony thickening of the middle turbinate and recurrence of ECRS.

METHODS:

A total of 246 patients with paranasal diseases were included in the study. The patients' data on bone thickening level, mucosal thickening, polyp score, clinical severity, and laboratory data were retrospectively evaluated.

RESULTS:

In total, 38, 186, and 22 patients had ECRS, non-ECRS (NECRS), and odontogenic sinusitis, respectively. The Lund-Mackey (LM) score and Global Osteitis Scoring Scale (GOSS) scores in patients with ECRS were higher than those in patients with other paranasal diseases. There was a significant positive correlation between the GOSS score and ECRS clinical disease severity. Postoperative recurrence was significantly increased in patients with ECRS associated with bony thickening of the middle turbinate.

CONCLUSION:

Both mucosal inflammation and osteitis were more severe in patients with ECRS than in patients with other diseases, and clinical disease severity was correlated with osteitis. Furthermore, the postoperative recurrence rate tended to increase in patients with ECRS who had bony thickening of the middle turbinate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ear Nose Throat J Año: 2022 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ear Nose Throat J Año: 2022 Tipo del documento: Article País de afiliación: Japón