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Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis.
Otolaryngol Head Neck Surg. 2004 Oct; 131(4):542-7.OH

Abstract

OBJECTIVE

The study goal was to compare the postoperative endoscopic appearance of the middle meatus antrostomy with symptomatic relief in patients undergoing endoscopic endonasal sinus surgery for chronic maxillary sinusitis.

STUDY DESIGN

We conducted a prospective randomized study encompassing 133 patients with chronic rhinogenic maxillary sinusitis who underwent endoscopic ethmoid surgery and middle meatal antrostomies. One of the tasks was to compare small-sized (less than 6 mm) antrostomies with large-sized (more than 16 mm) antrostomies in relieving the symptoms of chronic maxillary sinusitis. During follow-up an attempt was made to correlate endoscopic findings with symptomatic failure.

RESULTS

We could not demonstrate a statistically significant correlation between the degree of improvement of the main sinusitis symptoms (obstruction, headache, and nasal discharge) and the postoperative size of the antrostomy. Nevertheless, persistent accessory maxillary ostia, scarring within the ethmoid were statistically significant predictors of poor surgical outcome.

CONCLUSION

We conclude from this study that the size of the middle meatal antrostomy has no influence on the outcome of endonasal surgery for chronic rhinogenic maxillary sinusitis.

Authors+Show Affiliations

Department of Otolaryngology, University of Medicine and Pharmacy Cluj, Romania. s_albu@hotmail.comNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15467633

Citation

Albu, Silviu, and Ermil Tomescu. "Small and Large Middle Meatus Antrostomies in the Treatment of Chronic Maxillary Sinusitis." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 131, no. 4, 2004, pp. 542-7.
Albu S, Tomescu E. Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis. Otolaryngol Head Neck Surg. 2004;131(4):542-7.
Albu, S., & Tomescu, E. (2004). Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 131(4), 542-7.
Albu S, Tomescu E. Small and Large Middle Meatus Antrostomies in the Treatment of Chronic Maxillary Sinusitis. Otolaryngol Head Neck Surg. 2004;131(4):542-7. PubMed PMID: 15467633.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis. AU - Albu,Silviu, AU - Tomescu,Ermil, PY - 2004/10/7/pubmed PY - 2004/11/9/medline PY - 2004/10/7/entrez SP - 542 EP - 7 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 131 IS - 4 N2 - OBJECTIVE: The study goal was to compare the postoperative endoscopic appearance of the middle meatus antrostomy with symptomatic relief in patients undergoing endoscopic endonasal sinus surgery for chronic maxillary sinusitis. STUDY DESIGN: We conducted a prospective randomized study encompassing 133 patients with chronic rhinogenic maxillary sinusitis who underwent endoscopic ethmoid surgery and middle meatal antrostomies. One of the tasks was to compare small-sized (less than 6 mm) antrostomies with large-sized (more than 16 mm) antrostomies in relieving the symptoms of chronic maxillary sinusitis. During follow-up an attempt was made to correlate endoscopic findings with symptomatic failure. RESULTS: We could not demonstrate a statistically significant correlation between the degree of improvement of the main sinusitis symptoms (obstruction, headache, and nasal discharge) and the postoperative size of the antrostomy. Nevertheless, persistent accessory maxillary ostia, scarring within the ethmoid were statistically significant predictors of poor surgical outcome. CONCLUSION: We conclude from this study that the size of the middle meatal antrostomy has no influence on the outcome of endonasal surgery for chronic rhinogenic maxillary sinusitis. SN - 0194-5998 UR - https://www.unboundmedicine.com/medline/citation/15467633/Small_and_large_middle_meatus_antrostomies_in_the_treatment_of_chronic_maxillary_sinusitis_ L2 - http://journals.sagepub.com/doi/full/10.1016/j.otohns.2004.02.045?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -