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Sinusitis in the hypoplastic maxillary antrum: the crucial role of radiology in diagnosis and management

Published online by Cambridge University Press:  08 March 2006

Rami Salib ,
Siddarth Chaudri  and
Timothy Rockley
Rami Salib
Affiliation:
Department of Otolaryngology/Head & Neck Surgery, Queen's Hospital, Burton-upon-Trent, UK
Siddarth Chaudri
Affiliation:
Department of Otolaryngology/Head & Neck Surgery, Queen's Hospital, Burton-upon-Trent, UK
Timothy Rockley
Affiliation:
Department of Otolaryngology/Head & Neck Surgery, Queen's Hospital, Burton-upon-Trent, UK
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Abstract

Maxillary sinus hypoplasia (MSH) is occasionally encountered in otorhinolaryngological practice. The hypoplastic sinus is liable to mucus retention, and cases of MSH usually present as a persistent maxillary sinusitis. Endoscopic surgery has been recommended as an effective treatment for the sinus infection. However, MSH is associated with anomalies of the lateral nasal wall which, if not recognized pre-operatively, can lead to inadvertent surgical damage to the orbit. Although some of these abnormalities can be evident endoscopically, the role of imaging in diagnosis and identification of important surgical landmarks is paramount. A posteriorly placed middle meatal antrostomy is recommended as the surgical treatment of choice.

Keywords

MaxillarySinusSurgicalProceduresOperativeEndoscopesTomographyX Ray Computed
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 8 , August 2001 , pp. 676 - 678
Copyright
© Royal Society of Medicine Press Limited 2001

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