Middle Meatal Antrostomy inthe Management of Chronic Maxillary Sinusistis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Introduction: sinusitis is a group of disorders characterized by inflammation of the mucosa of the paranasal sinuses.Chronic sinusitis is defined as symptoms lasting longer than 8 weeks, with a global prevalence of around 10.9% with significant impairment in health related quality of life. Imaging advances, increased understanding of the anatomy and the pathophysiology of chronic sinusitis, and image-guided surgery have allowed surgeons to perform more complex procedures with increased safety.FESS emerges as the primary surgical modality for sinus diseases, the most common procedure being middle meatal antrostomy (MMA).Controversy exists over the effectiveness of FESS, judging on subjective and objective parameters .Hence it warrants further research. AIM:To determine the efficacy of middle meatal antrostomy in the management of chronic maxillary sinusitis in subjective and objective parameters. Methodology:A hospital based prospective study done in the department of otorhinolaryngology and head neck surgery, VSSIMSAR Burla from October 2015 to September 2017 with a sample size of 60 patients, who meet inclusion and exclusion criteria after clearance from the institutional ethical committee. Pre and post-operative endoscopic and radiological scoring [Lund Mackay], mean area of maxillary ostium as well as symptom and complication charting was done and compared.All data was entered into excel sheets and statistical analysis was done by SPSS version 20 using Pearson chi square test. Data was compared between baseline and 6 months, baseline and 1 year and 6months and 1 year. Statistical significance was set at p <0.05. Results: There was significant improvement in the post-operative period in SUBJECTIVE (symptoms) and OBJECTIVE (endoscopic/radiological) parameters. Conclusion: Our study is conclusive evidence that Middle meatal antrostomy is a safe and effective procedure in patients suffering from chronic maxillary sinusitis with significant improvement in subjective symptomatology as well as objective parameters.
Authors and Affiliations
Sauvagini Acharya, Siddharth Panditray, Nilamadhab Prusty, Subha Saumya Dany
Keywords
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- EP ID EP369062
- DOI 10.9790/0853-1703044554
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