38 cases of FESS are performed at the ENT department in 1998 by Messerklinger technique. Good result obtained in about 80% patients. No major complication was seen. The advantages and disadvantages of FESS are also discussed
Maxillary Sinus ; Maxillary Sinusitis ; surgery ; endoscopy

Maxillary sinusitis is a common condition in nose section. Traditional operations are always have more complications and easy to relapse, seriously affectting the quality of patient's life. The application of functional endoscopic sinus surgery (FESS) makes a qualitative progress on surgical treatment of maxillary sinusitis. In re- cent years, the researchs found that there are still unsatisfactories to long-term curative effect of some patients With the development of minimally invasive, people begin doubting its "functional". Recently, some new treat- merits have emerged in the world, but their safety and effectiveness needs further research. To seek for a better treatment, this article reviews the development and the existential problems of maxillary sinusitis surgery.
Endoscopy ; Humans ; Maxillary Sinusitis ; surgery ; Nose ; physiopathology ; surgery ; Recurrence

We present a rare case of dental foreign body from maxillary sinus in a 21-year woman who was hospitalized because of oral cavity and nasal sinus leak for 3 months when doing cheek-bulging action. Admission diagnosis :dental maxillary sinus"foreign body" (left); chronic maxillary sinusitis (left). Computed tomographic scan showed irregular high density shadow in the left maxillary sinus. The "foreign body" was removed via anteri- or prelacrimal recess approach, which was supposed to be the iatrogenic foreign body - alveolar bone.
Endoscopy ; Female ; Foreign Bodies ; surgery ; Humans ; Maxillary Sinus ; surgery ; Maxillary Sinusitis ; Young Adult

Objective: To analyze the clinical features of patients with odontogenic sinusitis (OS) treated by endoscopic sinus surgery (ESS). Methods: A retrospective investigation was carried out in our 27 (16 males and 11 females) cases with OS aged (49.74±14.42) years old. Subjects were hospitalized between January 2018 and November 2020 from Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital. The medical history, symptoms, result of nasal endoscopy and paranasal sinus computed tomography (CT) were analyzed statistically by SPSS 19.0. Results: OS mainly occured on unilateral sinuses, with a duration of (8.56±11.79) months. Seventy point four percent (19/27) of the patients had a course within six-month, only 11% was over 12 months (3/27). Symptoms mostly showed as nasal obstruction (88.9%; 24/27), runny nose (81.5%; 22/27), nasal stinks (16/19) and postnasal drip (10/10). Sixty-three percent (17/27) of the OS patients had a dental history. Nasal endoscopic examination revealed a swelling of the ostiomeatal complex (77.8%; 21/27), medial wall interhal displacement of maxillary sinus (55.6%; 15/27), white emulsion-like purulent secretion in the middle meatus (70.4%; 19/27) and nasal polyps (59.3%; 16/27). Etiology of OS included implant-related problems (14.8%; 4/27) and periodontal disease (85.2%; 23/27). Conclusions: OS is usually unilateral sinusitis with a short history. Its clinical features show nasal stinks, white emulsion-like purulent secretion in the middle meatus and imaging findings of unilateral maxillary sinusitis with tooth-related lesions.
Adult ; Chronic Disease ; Endoscopy ; Female ; Humans ; Male ; Maxillary Sinus/surgery* ; Maxillary Sinusitis/surgery* ; Middle Aged ; Retrospective Studies ; Sinusitis

Maxillary sinus hypoplasia (MSH) is an uncommon clinical disease that represents a persistent decrease in sinus volume, which results from centripetal reaction of the maxillary sinus walls. We present a unilateral MSH case of a 46-year-old male patient with a history of nasal obstruction and headache for 3 years. He had a history of Caldwell Luc operation (CLOP) 10 years ago, and no enophthalmos, hypoglobus or facial asymmetry. After confirming the right diagnosis of MSH, filled with bone in the computed tomography scan, hyperplastic bone was removed by the CLOP approach. The uncinate process and infundibular passage were found to be degenerated and ostium was also examined to be obstructed under endoscopic confirmation. MSH can be mistaken for chronic maxillary sinusitis because of the plain x-ray appearance, so the aggravated state of MSH can be the result of surgeon's misjudgment. With additional literature reviews, this rare experience is first introduced in our Korean oral and maxillofacial surgery field.]]>
Enophthalmos ; Facial Asymmetry ; Headache ; Humans ; Male ; Maxillary Sinus ; Maxillary Sinusitis ; Melanocyte-Stimulating Hormones ; Middle Aged ; Nasal Obstruction ; Surgery, Oral

OBJECTIVE: Observed the using of coblation during the maxillary sinus operation, to investigate the superiority of its clinical application. METHOD: Selecting 46 patients with the maxillary sinus lesions of sinusitis, nasal polyps and nasal inverted papilloma as research objects, the control group used high speed cutting drill, the research group used coblation separately for functional endoscopic sinus surgery. Six months postoperative follow-up, observeing the subjective symptoms and objective examination. RESULT: Subjective symptoms and objective examination scores of two groups of patients improved significantly. Compared with the control group, the operation time, bleeding volume and postoperative examination time are reduced in the study group of patients. Endoscopic examinations of the study group are better than the control group. CONCLUSION Using coblation for the maxillary sinus operation, treatment are more thorough, more minimally invasive, shorten operation time, reduce bleeding and recheck time after surgery, is worthy of clinical use.
Endoscopy ; Humans ; Maxillary Sinus ; surgery ; Nasal Polyps ; surgery ; Nasal Surgical Procedures ; methods ; Papilloma, Inverted ; surgery ; Postoperative Period ; Sinusitis ; surgery

Adolescent ; Adult ; Aged ; Endoscopy ; methods ; rehabilitation ; Humans ; Maxillary Sinusitis ; surgery ; Middle Aged ; Recovery of Function ; Young Adult

Fungal balls are the most frequent non-invasive form of fungal sinusitis occurring in the immunocompetent individuals. The pathophysiology of fungus balls remains questionable despite known theories such as the obstruction of osteomeatal complex and overfilling of dental cavities. Foreign bodies in maxillary sinus can cause sinusitis by persistent mucosal irritation. Most cases of foreign bodies in the maxillary sinus are related to iatrogenic dental procedure. Foreign bodies in the maxillary sinus, even if they do not result in any symptoms, should be removed because they cause fungal ball growth. Reported herein is a 76-year-old woman who has a history of dental surgery, and who was found to have a fungal ball accompanied with a metallic foreign body as a microplate between the left maxillary sinus and inferior meatus.
Aged ; Female ; Foreign Bodies* ; Fungi ; General Surgery ; History ; Humans ; Maxillary Sinus* ; Sinusitis

maxillary sinus by using preoperative and postoperative cone-beam computed tomography (CBCT).METHODS: The subjects included 83 patients with maxillary sinus abnormalities who underwent orthognathic surgery between January 2010 to December 2010. The CBCT analyses were classified according to the thickness of maxillary sinus membrane; Normal (membrane thickness<2 mm), mucosal thickening (membrane thickness> or =2 mm and <6 mm), partial opacification (membrane thickness>6 mm but not complete), total opacification, and polypoidal mucosal thickening. The diameters of the maxillary sinus ostium on the coronal cross-sectional view were also calculated.RESULTS: Out of 166 maxillary sinuses in 83 patients, 42 (25.3%) maxillary sinuses before surgery and 37 (22.3%) maxillary sinuses after surgery showed abnormalities. A decrease in the diameters of maxillary ostium was observed after surgery (P<0.05). However, there was no significant difference in mucosal thickness both, preoperatively and postoperatively.CONCLUSION: The orthognathic surgery didn't deteriorate the maxillary sinus abnormaility. Despite the low prevalence of sinus complications in orthognathic surgery, all the patients should be informed of the possibility of sinusitis that could require the surgical intervention before surgery.]]>
Cone-Beam Computed Tomography ; Humans ; Maxillary Sinus ; Orthognathic Surgery ; Osteotomy ; Prevalence ; Sinusitis

OBJECTIVE: To evaluate the therapeutic effect of endoscopic ethmoid and maxillary surgery on chronic hypertrophic rhinitis. METHOD: A total of 54 cases of chronic hypertrophic rhinitis were treated by endoscopic ethmoid and maxillary surgery between 2003 and 2004, undergoing postoperative follow-up of more than one year. Age of patients ranged from 17 to 60 years, with a mean of 35 years. All of them were identified with nasal endoscopy and CT before surgery. RESULT: Fifty (92.59%) of 54 cases showed their nasal obstruction symptoms were relieved completely or improved significantly, with nearly normal infraturbinal appearance. CONCLUSION Endoscopic ethmoid and maxillary surgery is an effective approach for the treatment of chronic hypertrophic rhinitis, with good preservations of infraturbinal structure and function.
Adolescent ; Adult ; Chronic Disease ; Endoscopy ; methods ; Ethmoid Sinus ; surgery ; Ethmoid Sinusitis ; complications ; surgery ; Female ; Humans ; Hypertrophy ; Male ; Maxillary Sinus ; surgery ; Maxillary Sinusitis ; complications ; surgery ; Middle Aged ; Rhinitis ; complications ; surgery ; Treatment Outcome ; Young Adult