비인강으로의 아데노이드 확장 정도에 따른 방사선학적 지표와 수술 전후 삶의 질 비교 (Comparison of Radiographic Parameters and Perioperative Quality of Life According to the Degree of Adenoid Extension to Choana)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 66권 / 9호 / 591 ~ 596페이지
· 저자명 : 방제호, 김석현, 이종환, 손승엽, 이건희

초록

Background and Objectives The aims of this study were to clarify the impact of adenoidalextension toward the choana on the quality of life and to find differences in radiographic pa-rameters between patients needing additional excision with a 90-degree tip and those whoonly require a 40-degree debrider tip.
Subjects and Method Patients who underwent adenoidectomy with both 40-degree and90-degree debrider tips were defined as the difficult-to-treat (DTT) group. Patients who un-derwent adenoidectomy using only a 40-degree debrider tip were defined as the control group.
We measured the antroadenoidal distance, the adenoidal nasopharyngeal ratio (ANR), thelength from the adenoid to hard palate, and reviewed the Korean Obstructive Sleep Apnea-18(KOSA-18) scale scores.
Results There was no difference in the quality of life due to OSA between the DTT and con-trol groups, pre- and post-operatively. Correlation analysis between the antroadenoidal dis-tance and the pre-operative KOSA-18 scale scores revealed a negative correlation. The antroad-enoidal distance was shorter in the DTT group; however, a cut-off value could not be obtained.
The ANR was a statistically discriminatory, but not effective, factor.
Conclusion There was no difference in the KOSA-18 scale scores between the groups withthe adenoidal extension toward the choana and the control. The ANR should be considered inthe pre-operative radiographic evaluation but is not a diagnostic parameter for choanal exten-sion. Further studies to find additional parameters are necessary.

영어초록

Background and Objectives The aims of this study were to clarify the impact of adenoidalextension toward the choana on the quality of life and to find differences in radiographic pa-rameters between patients needing additional excision with a 90-degree tip and those whoonly require a 40-degree debrider tip.
Subjects and Method Patients who underwent adenoidectomy with both 40-degree and90-degree debrider tips were defined as the difficult-to-treat (DTT) group. Patients who un-derwent adenoidectomy using only a 40-degree debrider tip were defined as the control group.
We measured the antroadenoidal distance, the adenoidal nasopharyngeal ratio (ANR), thelength from the adenoid to hard palate, and reviewed the Korean Obstructive Sleep Apnea-18(KOSA-18) scale scores.
Results There was no difference in the quality of life due to OSA between the DTT and con-trol groups, pre- and post-operatively. Correlation analysis between the antroadenoidal dis-tance and the pre-operative KOSA-18 scale scores revealed a negative correlation. The antroad-enoidal distance was shorter in the DTT group; however, a cut-off value could not be obtained.
The ANR was a statistically discriminatory, but not effective, factor.
Conclusion There was no difference in the KOSA-18 scale scores between the groups withthe adenoidal extension toward the choana and the control. The ANR should be considered inthe pre-operative radiographic evaluation but is not a diagnostic parameter for choanal exten-sion. Further studies to find additional parameters are necessary.

참고자료

· 없음