European Archives of Oto-Rhino-Laryngology

, Volume 268, Issue 4, pp 569–573 | Cite as

The effects of uncinectomy and natural ostial dilatation on maxillary sinus ventilation: a clinical experimental study

  • Ahmet Kutluhan
  • Mehti Şalvız
  • Kazım Bozdemir
  • Orhan Kanbak
  • Mustafa Ulu
  • Gökhan Yalçıner
  • Akif Sinan Bilgen
Rhinology

Abstract

The purpose of this study was to determine the effect of uncinectomy without sinusotomy and natural ostial dilatation on maxillary sinus ventilation in chronic rhinosinusitis. Twenty patients with chronic rhinosinusitis were included in this study. The patients were randomly divided into two groups. Group 1 consisted of patients with uncinectomy (n = 10), while group 2 was made up of patients treated with natural ostial dilatation (n = 10). The CO2 tension and pressure levels of the maxillary sinus during inspiration and expiration phases were obtained and compared before and after the procedures within and between the groups. The mean CO2 tension levels in both groups were significantly decreased after the procedures. The mean maxillary sinus pressure during inspiration was significantly decreased to a negative value after uncinectomy; however, no significant change was observed during expiration. There were no significant changes in maxillary sinus pressures after natural ostial dilatation procedure. Both uncinectomy and natural ostial dilatation seem to be equally effective in decreasing maxillary sinus pCO2 levels. The effects of decreased maxillary sinus pressure during inspiration after uncinectomy on mucociliary clearance and development mechanisms of chronic rhinosinusitis seem to be worth investigating.

Keywords

Maxillary sinus Sinus ventilation Uncinectomy Natural ostial dilatation 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Ahmet Kutluhan
    • 1
  • Mehti Şalvız
    • 1
  • Kazım Bozdemir
    • 1
  • Orhan Kanbak
    • 2
  • Mustafa Ulu
    • 2
  • Gökhan Yalçıner
    • 1
  • Akif Sinan Bilgen
    • 1
  1. 1.ENT-1 DepartmentAnkara Ataturk Training and Research HospitalAnkaraTurkey
  2. 2.Anesthesiology DepartmentAnkara Ataturk Training and Research HospitalAnkaraTurkey

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