Abstract
Objectives - evaluation of the local function of the mucociliary clearance (MCC) in the postoperative period in patients with foreign bodies in the maxillary sinuses, who have undergone various surgical treatment. Material and methods. Using an original analysis technique for highspeed digital video recording of a microscopic picture of a specimen, obtained by brush biopsy from specific regions of the nasal cavity and paranasal sinus under endoscopic control, the MCC of the nasal mucosa was evaluated in the control group (n=60) and in the group of patients, who received various surgery (n=60) of maxillary sinuses. Results. We obtained the data on persistent and apparent local MCC disorders in the field of the surgical intervention in the postoperative period. Conclusion. Surgical interventions with access not in the area of the natural ostium of the maxillary sinus are more gentle, since they do not injure the mucociliary clearance in the key region - the ostium.
Highlights
the mucociliary clearance (MCC) of the nasal mucosa was evaluated in the control group
The effect of endoscopic sinus surgery on mucociliary clearance in patients with chronic sinusitis
Summary
Цель – оценка локальной функции МЦК в послеоперационном периоде у больных с инородными телами верхнечелюстных пазух при различных способах проведения хирургического вмешательства на верхнечелюстной пазухе. Свидетельствующие о развитии стойких и выраженных локальных нарушений МЦК в области оперативного вмешательства в послеоперационном периоде. Хирургические вмешательства с доступом не в области естественного соустья верхнечелюстной пазухи являются более щадящими, так как не изменяют мукоцилиарный клиренс в ключевой зоне – в области соустья. Ключевые слова: мукоцилиарный клиренс, верхнечелюстная пазуха, инородные тела верхнечелюстных пазух, эндоскопическая антростомия, эндоскопическая трансмаксиллярная гайморотомия. Исследование мукоцилиарного клиренса в послеоперационном периоде при различных вмешательствах на верхнечелюстной пазухе. МЦК – мукоцилиарный клиренс; FESS – Functional Endoscopic Sinus Surgery. Evaluation of mucociliary clearance in the postoperative period after a maxillary sinus surgery
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