Equis ISSN 2398-2977

Paranasal sinus: drainage ostia - enlargement

Contributor(s): Paddy Dixon, Graham Munroe, Dwayne Rodgerson

Introduction

  • The paranasal sinuses are large but drainage through the nasomaxillary opening into the middle nasal meatus is through a long compressed slit and is generally poor.
  • The rostral maxillary sinus has a separate drainage route to the rest of the paranasal sinuses.
  • Part of the surgical treatment of paranasal sinus disease may include establishing increased drainage by enlargement or augmentation of the drainage ostia.

Uses

Advantages

  • Permanently improves paranasal sinus drainage.

Disadvantages

  • Requires bone flap procedure   Paranasal sinus: bone flap technique  to gain adequate exposure to establish drainage.
  • Often associated with profuse hemorrhage.
  • Some cases will have a permanent low grade inflammation of sinuses following this procedure - may have a permanent low grade nasal discharge.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Usually good with permanently effective increased drainage.

Further Reading

Publications

Refereed papers


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