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Functional endoscopic sinus surgery outcome in chronic rhinosinusitis patients with hypoplastic maxillary sinus

Published online by Cambridge University Press:  10 January 2022

M Al-Qudah Open the ORCID record for M Al-Qudah [Opens in a new window]  and
A Zubidi
M Al-Qudah*
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Jordan University of Science and Technology, Irbid, Jordan
A Zubidi
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Jordan University of Science and Technology, Irbid, Jordan
*
Author for correspondence: Prof Mohannad Al-Qudah, Department of Special Surgery, Jordan University of Science and Technology, PO Box: 3030, Irbid (22110), Jordan E-mail:[email protected] Fax: +962 2720 0621
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Abstract

Objective

To review the clinical characteristics, prevalence and outcomes of chronic rhinosinusitis patients with a hypoplastic maxillary sinus who underwent functional endoscopic sinus surgery.

Methods

A retrospective review was performed for the 814 consecutive, elective functional endoscopic sinus surgery procedures performed at an academic centre from 2010 to 2020, to identify patients with a hypoplastic maxillary sinus.

Result

A total of 56 hypoplastic maxillary sinus cases were detected. Maxillary sinus hypoplasia presented unilaterally in 20 cases and bilaterally in 18 cases. Of the maxillary sinus hypoplasia cases, 38 were type I, 17 were type II and 1 was type III. The average Lund–McKay score was 8.6. No major post-operative complications were reported. Four patients had minor complications and one had persistent post-nasal drip.

Conclusion

Functional endoscopic sinus surgery is a safe and effective procedure for improving the clinical condition of patients with a hypoplastic maxillary sinus; however, careful pre-operative radiological evaluation, identification of intra-operative endoscopic landmarks and use of additional techniques may be essential to achieve satisfactory results and avoid possible serious complications.

Keywords

HypoplasiaMaxillary SinusOrbitEndoscopySinusitisComplicationsOutcome AssessmentLavage
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 414 - 418
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof M Al-Qudah takes responsibility for the integrity of the content of the paper

References

Fokkens, WJ, Lund, VJ, Hopkins, C, Hellings, PW, Kern, R, Reitsma, S et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology 2020;58(suppl 29):1–464CrossRefGoogle ScholarPubMed
Al-Qudah, M. Image-guided sinus surgery in sinonasal pathologies with skull base/orbital erosion. J Craniofac Surg 2015;26:1606–8CrossRefGoogle ScholarPubMed
Bolger, WE, Woodruff, WW, Morehead, J, Richardson, MA. Maxillary sinus hypoplasia: classification and description of associated uncinate process hypoplasia. Otolaryngol Head Neck Surg 1990;103:759–65CrossRefGoogle ScholarPubMed
Karmody, CS, Carter, B, Vincent, M. Developmental anomalies of maxillary sinus. Trans Am Acad Ophthalmol Otolaryngol 1977;84:723–8Google ScholarPubMed
Bassiouny, A, Newlands, WJ, Ali, H, Zaki, Y. Maxillary sinus hypoplasia and superior orbital fissure asymmetry. Laryngoscope 1982;92:441–8CrossRefGoogle ScholarPubMed
Erdem, T, Aktas, D, Erdem, G, Miman, MC, Ozturan, O. Maxillary sinus hypoplasia. Rhinology 2002;40:150–3Google ScholarPubMed
Salib, RJ, Chaudri, SA, Rockley, TJ. Sinusitis in the hypoplastic maxillary antrum: the crucial role of radiology in diagnosis and management. J Laryngol Otol 2001;115:676–8CrossRefGoogle ScholarPubMed
Weed, DT, Cole, RR. Maxillary sinus hypoplasia and vertical dystopia of the orbit. Laryngoscope 1994;104:758–62CrossRefGoogle ScholarPubMed
Ho, JPK, Wong, E, Gunaratne, DA, Singh, N. Chronic maxillary atelectasis (including silent sinus syndrome) can present bilaterally. J Laryngol Otol 2019;133:251–5CrossRefGoogle ScholarPubMed
Hanna, E, Levine, HL, Sanford, T, Kotton, B. Hypoplasia of the maxillary antrum: anatomical abnormalities, diagnostic difficulties and surgical implications. Am J Rhinol 1993;7:105–10CrossRefGoogle Scholar
Jang, YJ, Kim, HC, Lee, JH, Kim, JH. Maxillary sinus hypoplasia with a patent ostiomeatal complex: a therapeutic dilemma. Auris Nasus Larynx 2012;39:175–9CrossRefGoogle ScholarPubMed
Wang, RG, Jiang, SC, Gu, R. The cartilaginous nasal capsule and embryonic development of human paranasal sinuses. J Otolaryngol 1994;23:239–43Google ScholarPubMed
Sirikçi, A, Bayazit, Y, Gümüsburun, E, Bayram, M, Kanlikana, M. A new approach to the classification of maxillary sinus hypoplasia with relevant clinical implications. Surg Radiol Anat 2000;22:243–7CrossRefGoogle Scholar
Kosko, JR, Hall, BE, Tunkel, DE. Acquired maxillary sinus hypoplasia: a consequence of endoscopic sinus surgery? Laryngoscope 1996;106:1210–13CrossRefGoogle ScholarPubMed
Al-Qudah, M. Extra middle turbinate lamellas: a suggested new classification. Surg Radiol Anat 2015;37:941–5CrossRefGoogle ScholarPubMed
Rujanavej, V, Soudry, E, Banaei, N, Baron, EJ, Hwang, PH, Nayak, JV. Trends in incidence and susceptibility among methicillin-resistant Staphylococcus aureus isolated from intranasal cultures associated with rhinosinusitis. Am J Rhinol Allergy 2013;27:134–7CrossRefGoogle ScholarPubMed
Manarey, CR, Anand, VK, Huang, C. Incidence of methicillin-resistant Staphylococcus aureus causing chronic rhinosinusitis. Laryngoscope 2004;114:939–41CrossRefGoogle ScholarPubMed
Kass, ES, Salman, S, Rubin, PA, Weber, AL, Montgomery, WW. Chronic maxillary atelectasis. Ann Otol Rhinol Laryngol 1997;106:109–16Google ScholarPubMed
Ende, K, Mah, L, Kass, ES. Progression of late-stage chronic maxillary atelectasis. Ann Otol Rhinol Laryngol 2002;111:759–62CrossRefGoogle ScholarPubMed
Brandt, MG, Wright, ED. The silent sinus syndrome is a form of chronic maxillary atelectasis: a systematic review of all reported cases. Am J Rhinol 2008;22:68–73CrossRefGoogle ScholarPubMed
Ho, JPK, Wong, E, Gunaratne, DA, Singh, N. Chronic maxillary atelectasis (including silent sinus syndrome) can present bilaterally. J Laryngol Otol 2019;133:251–5CrossRefGoogle ScholarPubMed