Maxillary sinusitis: Value of endoscopic middle meatus antrostomy versus caldwell-luc procedure

1992 ◽  
Vol 3 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Sherif Ragheb ◽  
James A. Duncavage
Keyword(s):  
Maxillary Sinusitis ◽  
Middle Meatus ◽  
Middle Meatus Antrostomy

scholarly journals Demographic profile of subjects currently undergoing middle meatus antrostomy for maxillary sinusitis, in a tertiary care centre of Punjab: analysis of 64 subjects

2021 ◽  
Vol 8 (3) ◽  
pp. 1196
Author(s):  
Manish Munjal ◽  
Ritu Gupta ◽  
Anurag Chaudhary ◽  
Mahesh Satija ◽  
Shubham Munjal ◽  
...  
Keyword(s):  
Prospective Study ◽  
Eustachian Tube ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Clinical Findings ◽  
Sinus Surgery ◽  
Middle Meatus ◽  
Tertiary Care Centre ◽  
Demographic Profile ◽  
Male Predominance

Background: The demographic profile of patients with Maxillary sinusitis undergoing surgical intervention in the state of Punjab was analyzed. The emphasis was on the age, gender and clinical presentation in this prospective study.                   Methods: In this prospective study 64 patients with maxillary sinusitis, were randomly selected from the Rhinology clinics of Oto-rhino-laryngology services, Dayanand Medical College and Hospital, Ludhiana in a period of one and a half years (June 2008 to December 2009). All patients were taken up for Functional endoscopic sinus surgery with middle meatus antrostomy.Results: Only 7 (10.94%) patients, with maxillary sinusitis were in the pediatric age group. 40(62.5%) were males and 24 (37.5%) females. Males outnumbered females in the ratio of 1.67:1. Clinical findings were nasal polyp in 33 (51.56%), middle meatus discharge in 10 (15.63%) and septal deviation was seen in 36 (56.25%) patients. Polypoidal mass was seen in the posterior choana in 24 (37.5%) patients followed by discharge inferior to the Eustachian tube orifice in 7 (10.94%). Recurrence of polypoidal change or frank polyposis occurred in 7 patients (10.94%). Post nasal drip persisted in 15/49 cases, while 54 (84.38%) were completely relieved of their symptoms. Recurrence was noticed more commonly in the region of ethmoid air cells.Conclusions: Patients with maxillary sinusitis were seen in the broad age range from 11 to 66 years with a male predominance. Nasal blockage rather than cheek ache was the primary complaint followed by polyp in the middle meatus and post nasal drip inferior to the Eustachian tube.     

Nasal endoscopy in chronic maxillary sinusitis

1989 ◽  
Vol 103 (3) ◽  
pp. 275-278 ◽  
Author(s):  
R. H. Kamel
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Maxillary Sinusitis ◽  
Anatomical Variations ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Nasal Endoscopy ◽  
Middle Meatus ◽  
Egyptian Patients ◽  
Chronic Maxillary Sinusitis

AbstractThe role of the anterior ethmoids in the pathogenesis of chronic maxillary sinusitis is still a subject of controversy. Although the symptoms of maxillary sinusitis may be clinically dominant, many previous studies have showed that the origin of this disease was, in most cases, located within the anterior ethmoid region.This study included 100 Egyptian patients, suffering from chronic maxillary sinusitis (confirmed by maxillary sinoscopy), who were subjected to ‘systematic nasal endoscopy’. It was found that all cases of chronic maxillary sinusitis were associated with anatomical variations and/or pathological abnormalities of ‘the ostiomeatal area’. It is recommended, therefore, that during the diagnosis and treatment of chronic maxillary sinusitis, attention should be given to the region of the middle meatus and anterior ethmoid complex (or ‘ostiomeatal area’) for any anatomical variations and/or pathological abnormalities in order to avoid recurrence of maxillary sinusitis. This is the basis of the procedure of functional endoscopic sinus surgery.

Results of Caldwell-Luc After Failed Endoscopic Middle Meatus Antrostomy in Patients With Chronic Sinusitis

2003 ◽  
Vol 113 (12) ◽  
pp. 2148-2150 ◽  
Author(s):  
Jeffrey L. Cutler ◽  
James A. Duncavage ◽  
Keith Matheny ◽  
Jenny L. Cross ◽  
Murat C. Miman ◽  
...  
Keyword(s):  
Chronic Sinusitis ◽  
Middle Meatus ◽  
Middle Meatus Antrostomy

scholarly journals Comparative Evaluation of Middle Meatus Antrostomy with or Without Partial Middle Turbinectomy

2010 ◽  
Vol 62 (4) ◽  
pp. 400-402 ◽  
Author(s):  
S. P. Gulati ◽  
Raman Wadhera ◽  
Arvind Kumar ◽  
Anshu Gupta ◽  
Ajay Garg ◽  
...  
Keyword(s):  
Comparative Evaluation ◽  
Middle Meatus ◽  
Middle Meatus Antrostomy

Correlation of Middle Meatal and Maxillary Sinus Cultures in Acute Maxillary Sinusitis

1997 ◽  
Vol 11 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Abhay M. Vaidya ◽  
James M. Chow ◽  
James A. Stankiewicz ◽  
M. Rita I. Young ◽  
Herbert L. Mathews
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Bacterial Flora ◽  
Acute Sinusitis ◽  
Middle Meatus ◽  
The Past ◽  
Colony Forming Units ◽  
Sinus Ostium ◽  
Convincing Data ◽  
Maxillary Sinuses

Cultures obtained from the middle meatus have been used frequently in the past to direct therapy in patients with acute maxillary sinusitis. However, no convincing data have been published to indicate that middle meatal cultures accurately represent the bacterial flora within the maxillary sinus. The hypothesis of this experiment is that bacteria obtained by directed middle meatal cultures qualitatively and quantitatively correlate with cultures taken by maxillary sinus puncture. Acute sinusitis was induced by injecting 108 colony-forming units of bacteria directly into the maxillary sinuses of rabbits in which the ostia were occluded with cotton packs. Eight animals were injected with Staphylococcus aureus, eight with Haemophilus influenzae, and eight with Streptococcus pneumoniae. The packs were removed after 3 days, and specimens were obtained from the middle meatus in the region of the maxillary sinus ostium, and from the maxillary sinus, 1 day later. The contralateral maxillary sinuses of six of the animals were injected with normal saline and served as controls. There was a 100% correlation rate between cultures of specimens obtained from the maxillary sinus and from the middle meatus in all 24 animals. In addition, the quantitative counts from the middle meatus and the maxillary sinus correlated. Control animals showed no bacterial growth from either the middle meatus or the maxillary sinus. These results show that, in an animal model of acute sinusitis, cultures of specimens from the middle meatus reflect the contents of the maxillary sinus.

scholarly journals Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation

2012 ◽  
Vol 5 (1) ◽  
pp. 19-24
Author(s):  
SPS Yadav ◽  
Anuj Kumar Goel ◽  
Rati Goel ◽  
Rupender Ranga ◽  
JS Gulia
Keyword(s):  
Comparative Study ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Randomized Study ◽  
Septal Deviation ◽  
P Value ◽  
Deviated Nasal Septum ◽  
Chronic Maxillary Sinusitis ◽  
Group B ◽  
Middle Meatus Antrostomy

ABSTRACT Introduction The study was conducted to asses if septoplasty is adequate for the management of chronic maxillary sinusitis. Chronic maxillary sinusitis is not uncommonly associated with deviated nasal septum (DNS). The randomized study was conducted on 40 cases of medically unmanageable and HRCT proven chronic maxillary sinusitis with DNS. Materials and methods The study was conducted in 40 cases of HRCT (PNS) proven chronic maxillary sinusitis which were not cured with medical treatment. The patients were divided randomly in two groups. Group A underwent septoplasty and group B septoplasty along with FESS in the form of uncinectomy and middle meatus antrostomy. Patients having other anatomical factors for example concha were excluded. Results Both procedures produced significant improvement in symptomatology and on HRCT (PNS) findings as compared to preoperative status (p-value less than 0.001). Septoplasty was found to be effective in chronic maxillary sinusitis, however, when polyps were present in maxillary sinus, then septoplasty with FESS was found to be better. Discussion In cases of chronic maxillary sinusitis with DNS, septoplasty is adequate, however if the maxillary sinus shows polyps on HRCT (PNS) scan then septoplasty should be combined with FESS. How to cite this article Goel AK, Yadav SPS, Ranga R, Gulia JS, Goel R. Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation. Clin Rhinol Int J 2012;5(1):19-24.

Patency Rate of Endoscopic Middle Meatus Antrostomy

1991 ◽  
Vol 101 (4) ◽  
pp. 416???420 ◽  
Author(s):  
William E. Davis ◽  
Jerry W. Templer ◽  
William R. LaMear
Keyword(s):  
Patency Rate ◽  
Middle Meatus ◽  
Middle Meatus Antrostomy

Patency Rate of Endoscopic Middle Meatus Antrostomy

1991 ◽  
Vol 101 (4) ◽  
pp. 416-420 ◽  
Author(s):  
William E. Davis ◽  
Jerry W. Templer ◽  
William R. LaMear
Keyword(s):  
Patency Rate ◽  
Middle Meatus ◽  
Middle Meatus Antrostomy

scholarly journals Effectiveness of Functional Endoscopic Sinus Surgery in Surgical Management of Ethmoid Polyps

2022 ◽  
Vol 8 (1) ◽  
pp. 38-42
Author(s):  
Kumari Radha M. N ◽  
Anju Unnikrishnan ◽  
Manju N
Keyword(s):  
Ct Scan ◽  
Surgical Management ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Middle Meatus ◽  
Frontal Recess ◽  
Extent Of Surgery ◽  
Middle Meatus Antrostomy

Background: Aim: To assess efficacy of functional endoscopic sinus surgery in surgical management of ethmoid polyps.Methods:One hundred twelve adult patients age ranged 18- 38 years of either gender with ethmoid polyps underwent FESS under general anesthesia. The extent of surgery was decided based on the findings in pre-operative CT scan of paranasal sinuses. Anterior ethmoidectomy, posterior ethmoidectomy, middle meatus antrostomy and clearance of frontal recess were performed in all the patients. Five functional criteria were evaluated as nasalobstruction , anosmia, rhinorrhea, post nasal drip, head ache and facial pain.Results:Pre- operative nasal obstruction percentage was 3.42 and post- operative ercentage was 2.10, Anosmia percentage was 2.14 and 1.15, Rhinorrhea percentage was 3.56 and 2.08 and ocular problem in 1 and synechia in 4 cases.Conclusions:Functional endoscopic sinus surgery found to be effective in management of ethmoid polyps and hence can be the treatment of choice.

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