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

In this study we report on the correlation between bacteriology and disease severity staging by computed tomography (CT) for chronic sinusitis. When patients with chronic sinusitis underwent functional endoscopic sinus surgery (FESS), swab specimens were taken from the ipsilateral middle meati and ethmoid sinuses under endoscope guidance. The severity of chronic sinusitis was evaluated by pre-operative CT scans. The CT scans were staged by the Lund and Mackay system. The scores for the frontal, anterior ethmoid and maxillary sinuses and for the ostiomeatal complex were added. The culture rates were correlated with the added scores. Between November 1998 and January 2003, 79 pairs of specimens were collected from 79 patients whose CT scans were done within a day before FESS. The culture rates of middle-meatus specimens were moderately correlated with the scores, but those of ethmoid sinus specimens were negatively correlated with the scores. If Staphylococcus epidermidis and corynebacteria were considered normal flora, the bacteriology of the middle meatus was highly correlated with the CT scores. This study shows that culture rates of middle-meatal specimens tended to increase with the severity of chronic sinusitis.

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Correlation between bacteriology of the middle meatus and ethmoid sinus in chronic sinusitis

The Journal of Laryngology & Otology ◽

10.1258/0022215021911248 ◽

2002 ◽

Vol 116 (6) ◽

pp. 443-446 ◽

Cited By ~ 18

Author(s):

Rong-San Jiang ◽

Jen-Fu Lin ◽

Chen-Yi Hsu

Keyword(s):

Chronic Sinusitis ◽

Bacterial Species ◽

Ethmoid Sinus ◽

Gram Negative Bacteria ◽

Middle Meatus ◽

Gram Negative ◽

The Real ◽

Significant Difference ◽

Ethmoid Sinuses

In this study we report on the correlation between the bacteriology of the middle meatusand ethmoid sinus in chronic sinusitis. When patients with chronic sinusitis underwent functional endoscopicsinus surgery (FESS), swab specimens were taken from the middle meati before surgery. After removing the ethmoid bullae, swab specimens were taken from the ethmoid sinuses. Between November 1998 and February 2001, 186 pairs of middle meatal and ethmoid sinus specimens were collected from 186 patients. No bacteria were cultured from either specimen in 32 patients. The same bacteria were cultured from both specimens in another 60 patients. The culture results differed between the middle meatal and ethmoid sinus specimens in the remaining 94 patients. There was a significant difference between culture rates of 63.4 per cent for middle meatal specimens and 76.3 per cent for the ethmoid sinus specimens. In analysing bacterial species, significantly more aerobic Gram negative bacteria were cultured from the ethmoid sinus specimens than from the middle meatalspecimens. This study shows that the bacteriology of the middle meatus was different from that of the ethmoid sinus. Therefore, the bacteriological findings in the middle meati may not reflect the real bacteriology in chronic sinusitis.

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Patency Rate of Endoscopic Middle Meatus Antrostomy

The Laryngoscope ◽

10.1288/00005537-199104000-00014 ◽

1991 ◽

Vol 101 (4) ◽

pp. 416???420 ◽

Cited By ~ 11

Author(s):

William E. Davis ◽

Jerry W. Templer ◽

William R. LaMear

Keyword(s):

Patency Rate ◽

Middle Meatus ◽

Middle Meatus Antrostomy

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Patency Rate of Endoscopic Middle Meatus Antrostomy

The Laryngoscope ◽

10.1002/lary.1991.101.4.416 ◽

1991 ◽

Vol 101 (4) ◽

pp. 416-420 ◽

Cited By ~ 50

Author(s):

William E. Davis ◽

Jerry W. Templer ◽

William R. LaMear

Keyword(s):

Patency Rate ◽

Middle Meatus ◽

Middle Meatus Antrostomy

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

Operative Techniques in Otolaryngology-Head and Neck Surgery ◽

10.1016/s1043-1810(10)80256-8 ◽

1992 ◽

Vol 3 (2) ◽

pp. 129-133 ◽

Cited By ~ 9

Author(s):

Sherif Ragheb ◽

James A. Duncavage

Keyword(s):

Maxillary Sinusitis ◽

Middle Meatus ◽

Middle Meatus Antrostomy

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

Annals of International medical and Dental Research ◽

10.53339/aimdr.2022.8.1.6 ◽

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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