Table of Contents
ISRN Otolaryngology
Volume 2012 (2012), Article ID 189383, 8 pages
http://dx.doi.org/10.5402/2012/189383
Research Article

Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique

1Department of Otorhinolaryngology, University of Tampere, Finn Medi III, 4th Floor (Biokatu 10), 33520 Tampere, Finland
2Department of Otorhinolaryngology, Paijat-Hame Central Hospital, Keskussairaalankatu 7, 15850 Lahti, Finland
3Department of Otorhinolaryngology, Mikkeli Central Hospital, Porrassalmenkatu 35-37, 50100 Mikkeli, Finland
4Department of Otorhinolaryngology, Tampere University Hospital, PL 2000, Teiskontie 35, 33521 Tampere, Finland
5Department of Allergy, Skin and Allergy Hospital, Helsinki University Central Hospital, P.O. Box 160 (Meilahdentie 2), 00029 Hospital District of Helsinki and Uusimaa, Helsinki, Finland
6Transplantation Laboratory, Haartman Institute, University of Helsinki, FIN-00014 Helsinki, Finland

Received 28 February 2012; Accepted 19 April 2012

Academic Editors: C. Canova, G. G. Ferri, S. H. Lee, and S. Triaridis

Copyright © 2012 Annika Luukkainen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Endoscopic sinus surgery (ESS) is considered for chronic rhinosinusitis (CRS) after failure of conservative therapy. Objective. The aim of this study was to evaluate endoscopically ostium patency and mucosal recovery after ESS, with either maxillary sinus ostium-preserving or -enlarging techniques. Materials and Methods. Thirty patients with non-polypous CRS were enrolled. Uncinectomy-only and additional middle meatal antrostomy were randomly and single-blindly performed for each side. Pre- and postoperative endoscopic scores were semi-quantitatively determined according to findings in the ostiomeatal complex area. Adhesions, maxillary sinus mucosal swelling, secretions, and ostium obstruction were also endoscopically evaluated. In addition, symptoms were asked and computed tomography scans were taken preoperatively and 9 months postoperatively. Results. At 16 days postoperatively, a better endoscopic score and a less obstructed ostium were found with antrosomy. At 9 months postoperatively the endoscopic score improved significantly and identically with both procedures, however, obstructed ostia and sinus mucosal swelling/secretions were insignificantly more frequently found on the uncinectomy-only side. Endoscopic and radiologic findings of the maxillary sinus mucosa and ostium correlated significantly 9 months postoperatively. Conclusion. There was a good long-term mucosal recovery with both surgical procedures. In terms of early mucosal recovery and ostium patency, antrostomy might be slighly superior.