Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T16:20:59.686Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic transnasal surgery in chronic maxillary sinusitis

Published online by Cambridge University Press:  29 June 2007

R. H. Kamel
R. H. Kamel*
Affiliation:
(Cairo, Egypt).
*
Dr. R. H. Kamel, M.D., 5 Dokky St. Flat 6, Dokky, Giza, Cairo, Egypt.
Get access Rights & Permissions [Opens in a new window]

Abstract

The treatment of chronic maxillary sinusitis aims at the re-establishment of proper aeration and drainage of the antrum. Middle meatal antrostomy offers ventilation and clearance of the antrum and has anatomical, physiological, physical and pathological basis.

This work included 66 cases of chronic maxillary sinusitis, for whom 94 operations of endoscopic middle meatal antrostomy were performed (38 unilateral and 28 bilateral procedures). Any associated anatomical variations and/or pathological abnormalities at the ostiomeatal area were dealt with. Follow-up of these cases for periods ranging from four to 12 months showed that 95.5 per cent of the cases experienced subjective improvement. Endoscopically 96.8 per cent of the antrostomies were patent and 94.7 per cent of the maxillary sinuses were clear and regained healthy mucosa. The author concluded that middle meatal antrostomy, when done endoscopically, is a safe procedure with good results

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 5 , May 1989 , pp. 492 - 501
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aluci, H. A. (1980): A new approach to the surgical treatment of chronic maxillary sinusitis. Journal of Laryngology and Otology, 94: 1145–1149.Google Scholar
Bryant, F. L. (1967): Conservative surgery for chronic maxillary sinusitis. Laryngoscope, 77: 575–583.Google Scholar
Davison, F. W. (1969): Internasal surgery. Laryngoscope, 79: 502–510.Google Scholar
Hempstead, B. E. (1939): End results of intranasal operation for chronic maxillary sinusitis. Archives of Otolaryngology, 30: 711–715.Google Scholar
Hilding, A. C. (1944): The physiology of drainage of the nasal mucous IV drainage of the accessory sinuses in man. Annals of Otology, Rhinology and Laryngology, 53: 35–41.Google Scholar
Kennedy, D. W. (1985): Functional endoscopic sinus sur-gery:Technique. Archives of Otolaryngology, 111: 643–649.Google Scholar
Kennedy, D. W., Zinreich, S. J., Shaalan, H., Kuhn, F.Navlerio, R. and Loch, E. (1987): Endoscopic middle meatal antrostomy: Theory, technique and patency. Laryngoscope, Supplement 43, 97, Part 3:1–9.Google Scholar
King, E. (1935): A clinical study of the functioning of the maxillary sinus mucosa. Annals of Otology, Rhinology and Laryngology, 44: 480–482.Google Scholar
Lavelle, R. J. and Harrison, M. S. (1971): Infection of the maxillary sinus: The case for middle meatal antrostomy. Laryngoscope, 81: 90–106.Google Scholar
Lund, V. J. (1986): Fundamental considerations of the design and function of intranasal antrostomies. Journal of the Royal Society of Medicine, 79: 646–649.Google Scholar
Messerklinger, W. (1978): In Endoscopy of the nose. Baltimore, Urban and Schwarzenberg.Google Scholar
Proetz, A. W. (1941): In Essays on the applied physiology of the nose. Annals Publishing Co., St. Louis: 356.Google Scholar
Proctor, D. (1966): In the Nose, Paranasal Sinuses and Pharynx. Walters, W. (ed): Lewis-Walters Practice of Surgery. Hagers-town, Md, WF. Prior Co. Vol. 4: 1–37.Google Scholar
Stammberger, H. (1985): Endoscopic surgery for mycotic and chronic recurrent sinusitis. Annals of Otology, Rhinology and Laryngology, Supplement 119, 94, Part 2: 1–11.CrossRefGoogle Scholar
Stammberger, H. (1986): Nasal and paranasal sinus endoscopy. A diagnostic and surgical approach to recurrent sinusitis. Endoscopy, 18: 213–218.CrossRefGoogle ScholarPubMed
Straatmann, N. J. A. and Buiter, C. T. (1981): Endoscopic surgery of the nasal fontanelle. Archives of Otolaryngology, 107: 290–293.Google Scholar
Wigand, M. E., Steiner, W. and Jaumann, M. P. (1978): Endo-nasal sinus surgery with endoscopic control: From radical operation to rehabilitation of the mucosa. Endoscopy, 10: 255–260.CrossRefGoogle Scholar
Zinreich, S. J., Kennedy, D. W., Rosenbum, A. E., Gayler, B. W., Kumar, A. J. and Stammberger, H (1987): Paranasal sinuses: CT Imaging requirements for endoscopic surgery. Radiology 163: 769–775.Google Scholar