Kartagener症候群の1例

A Case of Kartagener's Syndrome

　はじめに

　Kartagener症候群は内臓逆位，気管支拡張症，慢性副鼻腔炎を呈し，全身の線毛をもつ構造に先天的異常をもつ疾患として知られている^1）。今回われわれは，慢性副鼻腔炎に内臓逆位を合併し，電顕像にてKartagener症候群と診断し得た1例を経験したので報告する。

A 13-year-old female has been suffering from chronic sinusitis and bilateral otitis media with effusion since her early childhood. She has been pointed out situs inversus. Transmission electron microscopic examination of nasal mucosa con-firmed a lack of inner dynein arm of nasal cilia, and she was diagnosed as having Kartagener's syn-drome.

She underwent endoscopic sinus surgery for chronic sinusitis and myringoplasty for a perfora-tion of the right tympanic membrane caused by tympanostomy tube insertion.

Chronic sinusitis accompanied by Kartagener's syndrome is discussed in relation to surgical man-agement.