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Nasal endoscopy in chronic maxillary sinusitis

Published online by Cambridge University Press:  29 June 2007

R. H. Kamel
Affiliation:
Cairo, Egypt

Abstract

The role of the anterior ethmoids in the pathogenesis of chronic maxillary sinusitis is still a subject of controversy. Although the symptoms of maxillary sinusitis may be clinically dominant, many previous studies have showed that the origin of this disease was, in most cases, located within the anterior ethmoid region.

This study included 100 Egyptian patients, suffering from chronic maxillary sinusitis (confirmed by maxillary sinoscopy), who were subjected to ‘systematic nasal endoscopy’. It was found that all cases of chronic maxillary sinusitis were associated with anatomical variations and/or pathological abnormalities of ‘the ostiomeatal area’. It is recommended, therefore, that during the diagnosis and treatment of chronic maxillary sinusitis, attention should be given to the region of the middle meatus and anterior ethmoid complex (or ‘ostiomeatal area’) for any anatomical variations and/or pathological abnormalities in order to avoid recurrence of maxillary sinusitis. This is the basis of the procedure of functional endoscopic sinus surgery.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Kennedy, D. W., Zinireich, S. J., Rosenbaum, A. E. and Johns, M. E. (1985) Functional endoscopic sinus surgery, theory and diagnostic evaluation. Archives of Otolaryngology, 111: 576582.CrossRefGoogle ScholarPubMed
Messerklinger, W. (1972) Endoscopie des unteren Nasengarages. Monatschrift Ohrenheilkunde, Laryngologie und Rhinologie, 106: 569572.Google Scholar
Messerklinger, W. (1978) In Endoscopy of the Nose. Baltimore, Urban and Schwarzenberg.Google Scholar
Proctor, D. F. (1966) The Nose, Paranasal Sinuses and Pharynx. In Lewis-Walters Practice of Surgery, Walters, W., ed., vol. 4, pp. 137. W. F. Prior Co., Hagerstown.Google Scholar
Stammberger, H. (1986) Endoscopic endonasal surgery. Concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngology—Head and Neck Surgery, 94: 147156.CrossRefGoogle ScholarPubMed