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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Abstract

SANGES, Giuseppe et al. Endoscopic sinus surgery in individuals with facial pain due to chronic maxillary sinusitis ? a functional controlled study. Arq. Neuro-Psiquiatr. [online]. 2014, vol.72, n.8, pp.609-612.  Epub July 04, 2014. ISSN 0004-282X.  http://dx.doi.org/10.1590/0004-282X20140092.

Objective:

To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls.

Method:

Sinus manometry was performed 5 times during inhalation.

Results:

The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05).

Conclusion:

Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals.

Keywords : facial pain; nasal cavities; manometry, biophysical model; endoscopic surgery.

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