A Comparative Study between Endoscopic Prelacrimal Approach and Middle Meatal Antrostomy for Maxillary Sinus Pathologies

2021 ◽  
Author(s):  
Venugopal Mohankumar ◽  
D. Senthamarai Kannan ◽  
Veerasigamani Narendrakumar ◽  
Saravanan Kuppuswamy ◽  
Arya N Baby
Keyword(s):  
Comparative Study ◽  
Maxillary Sinus ◽  
Middle Meatal Antrostomy

Maxillary Sinus Atelectasis with Enophthalmos

1998 ◽  
Vol 107 (1) ◽  
pp. 34-39 ◽  
Author(s):  
James H. Boyd ◽  
Karen Yaffee ◽  
John Holds
Keyword(s):  
Bone Resorption ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Endoscopic Technique ◽  
Orbital Floor ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Middle Meatal Antrostomy ◽  
Chronic Maxillary Sinusitis ◽  
Sinus Ostium

Chronic maxillary sinusitis may present as atelectasis of the sinus with changes to surrounding structures. Several mechanisms have been proposed for this problem. Chronic obstruction of the sinus ostium, with resultant retention of secretions and osteitic bone resorption, may account for these changes. Enophthalmos is one manifestation that may require corrective treatment. Titanium micromesh reconstruction of the orbital floor, with or without onlay concha cartilage, has reliably resolved the enophthalmos. Reconstruction of the orbital floor and ventilation of the obstructed sinus ostium may be carried out relatively safely in a single operation. The standard endoscopic technique of uncinate removal and middle meatal antrostomy should be modified to prevent orbital penetration. This report reviews our series of 6 patients with this problem, as well as a comprehensive review of the literature. Recommendations for management of both the obstruction and the secondary orbital manifestations are presented.

Silent sinus syndrome: an unusual case of facial numbness

2018 ◽  
Vol 18 (6) ◽  
pp. 494-496 ◽  
Author(s):  
Samuel Tribich ◽  
Colin J Mahoney ◽  
Nicholas W Davies
Keyword(s):  
Maxillary Sinus ◽  
Complete Resolution ◽  
Unusual Case ◽  
Clinical Context ◽  
Blurred Vision ◽  
Silent Sinus Syndrome ◽  
Osteomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Facial Numbness ◽  
History Of

A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.

Maxillary Sinus Ostioplasty versus Nasal-Antral Window in Maxillary Sinusitis: An Experimental Study

1996 ◽  
Vol 10 (6) ◽  
pp. 357-364 ◽  
Author(s):  
Mohammed H. Hassab ◽  
David W. Kennedy
Keyword(s):  
Maxillary Sinus ◽  
Animal Studies ◽  
Clinical Observation ◽  
Mucociliary Clearance ◽  
Maxillary Sinusitis ◽  
Middle Turbinate ◽  
Short Term ◽  
Middle Meatal Antrostomy ◽  
Sinus Ostium ◽  
New Zealand Rabbits

The performance of a maxillary antrostomy through the natural ostium of the maxillary sinus has been debated in the literature over the years. However, much of the argument against middle meatal antrostomy has been based primarily upon animal studies in which there was a patent maxillary sinus ostium. A detailed study was therefore undertaken to evaluate the effects of both ostioplasty and nasal antral window in an animal model with maxillary sinus ostial obstruction. Twenty Pasteurella-free White New Zealand Rabbits underwent unilateral ostial occlusion with Histoacryl®. The sinuses were reexplored after 2 weeks. In 10 sinuses a nasal antral window was performed. In the remaining 10, two variations of ostioplasty were performed. Half underwent circumferential widening by removal of the root of the middle turbinate and half underwent a limited antero-inferior widening of the ostium. The opposite maxillary sinus in each animal was kept as a control. A second exploration was performed at 6 weeks. Significant evidence of inflammation was not found in any of the sinuses with limited widening of the maxillary sinus ostium, but was present in 10% of the sinuses with nasal antral windows and 40% of the sinuses with circumferential ostial widening. Normal mucociliary clearance was present in 80% of the sinuses with limited ostioplasty, 60% of the sinuses with circumferential ostioplasty, and 40% of those with nasal antral window. These findings support the clinical observation that limited widening of the natural ostium of the maxillary sinus is an effective treatment for inflammation secondary to ostial obstruction. However, they also suggest that circumferential widening of the maxillary sinus ostium, at least in the short term, predisposes to infection.

scholarly journals Clinical comparative study on carcinomas of between T4 cases of upper gum and T2 cases of maxillary sinus.

1990 ◽  
Vol 36 (10) ◽  
pp. 2312-2321
Author(s):  
Ken-ichi NOTANI ◽  
Makoto ISHIKAWA ◽  
Motoaki HANZAWA ◽  
Hiroyuki NAKAMURA ◽  
Yasunori TOTSUKA ◽  
...  
Keyword(s):  
Comparative Study ◽  
Maxillary Sinus
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