Background: Chronic maxillary sinusitis is a very common
presentation in otorhinolaryngology clinics. It has diverse
aetiology and varied symptoms at presentation. Its treatment
requires a comprehensive approach for successful outcomes.
We in the present study tried to evaluate the aetiology of
chronic maxillary sinusitis and outcomes of treatment of
chronic maxillary sinusitis.
Methods: Patients presenting with clinical features of Chronic
rhinosinusitis of all age groups and sexes were included in the
study. The patients were subjected to general examination from
head to toe which included the examination of the Respiratory
system and cardiovascular system. ENT examination along with
head neck was done. X-Ray (Water's view), C.T Scan PNSCoronal, and Sagittal sections for selected patients.
Results: Antibiotics, antihistamines, decongestants, steam
inhalations, and in some cases intranasal steroids (Budesonide,
Beclomethasone, Fluticasone). Surgery: Antral wash n=16
cases, Intranasal Antrostomy n=2 cases, Caldwell Luc n=2 cases,
Maxillary sinoscope n=2 cases, FESS n=38 cases
involvinguncinectomy, middle meatal antrostomy, anterior
ethmoidectomy, posterior ethmoidectomy, sphenoidotomy,
frontal sinus infundibulotomy, and polypectomy.
Conclusion: The commonest organism responsible was
streptococcus pneumoniae. Improvement in the diagnostic
techniques and availability of nasal endoscopy and CT scan
which can show clearly the anatomy of osteomeatal complex
has led to better management of the disease. Nasal endoscopes
have allowed a meticulous delicate removal of the diseased
mucosa which preserving the normal mucosa and structures
consequently the postoperative complications are very few and
most of the cases get relief from the symptoms of the disease
Studies of X-ray mucous-membrane function test by orthopantomograph in case of odontogenic maxillary sinusitis
