Open AccessMaxillary Sinus Septation Causing Chronic Sinusitis
Author(s) -
Sullivan Corbin,
Conley Stephen,
Sewell Steven
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451426a400
Subject(s) - medicine , sinusitis , maxillary sinus , chronic sinusitis , otorhinolaryngology , surgery , sinus (botany) , radiology , botany , biology , genus
Objective 1) Report a unique case of a complete maxillary sinus septation (MSS) obstructing the ostio‐meatal complex with resulting chronic unilateral maxillary and ethmoid sinusitis. 2) Report a novel treatment of a MSS with dual approach via Caldwell‐Luc and endscopic maxillary antrostomy. 3) Perform a literature review of MSS. Method This is an individual case report of a pediatric patient treated in 2010 for chronic right maxillary and ethmoid sinusitis resulting from an obstructive complete MSS. Initial treatment was medical, followed by a unique combined surgical approach. The patient was followed clinically and with computed tomography (CT). Results The patient did not have recurrence of sinusitis either clinically or on imaging during the follow‐up period. Conclusion This is a unique case of MSS causing chronic sinusitis. There is scant mention of MSS in otolaryngology literature, with most mentions coming from oral and maxillofacial surgery literature. This may present an area for future investigation in relation to both imaging findings and surgical approach to rhinosinusitis.