Vol.95 No.2 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 2 February 2002
Efficacy of Treatment to Clean and Widen the Middle Nasal
Meatus on Rhinosinusitis
Takechiyo Yamada, Hitoshi Saito, Shigeharu Fujieda, Shigehito Mori,
Yuichi Kimura and Ichiro Noda (Fukui Medical University)
Masaharu Sudo (Fukui Red Cross Hospital)
Nobuyuki Tanaka (Fukui General Hospital)
Akihiro Kojima (Fukui Welfare Hospital)
Kiyomaro Kamakazu (Kamakazu Clinic)
Taisuke Kurokawa (Kurokawa ENT Clinic)
Motohiro Shimizu (Shimizu ENT Clinic)
Toru Takimoto (Takimoto ENT Clinic)
Toshihito Tsubokawa (Tsubokawa ENT Clinic)
Yasumasa Tokuda (Tokuda ENT Clinic)
Masahiko Hara (Hara ENT Clinic)
Norihiko Fukutsuji (Fukutsuji ENT Clinic)
Tameo Miyazaki (Miyazaki Clinic)
Ventilation of the paranasal sinuses has been hypothesized to be a critical factor in curing rhinosinusitis, because blockage of the ventilating sinuses can lead to retention of nasal discharge or pus. In this report, we investigated the effect of treatment to clean and widen the middle nasal meatus in outpatients with rhinosinusitis. The outpatients were assigned to two groups: in the first group, cotton wool soaked with epinephrine was applied to the middle nasal meatus for 10 minutes after cleaning the meatus at each consultation; in the second group, no epinephrine was used but the other conditions were the same. The treatment results were analyzed using X-rays, and subjective complaints via a the questionnaire survey, and nasal symptoms and X-rays scores were significantly better in the first group compared to the second group (p＜0.0001, p＜0.005).
Key words : middle nasal meatus, rhinosinusitis, outpatients, epinephrine