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Inferior Meatal Antrostomy (IMA) is a widely performed surgical technique to treat postoperative maxillary mucocele. It is safe and easy to perform, without major complications, compared with other approaches. Facial pain developing after IMA is a rare clinical entity that can be challenging to diagnose and treat. The authors present an unusual case of acute facial neuralgia triggered by cold air that developed after IMA. The antrostomy was located at the anterior-most part of the inferior meatus, and the inlet size was relatively large compared to the size of the remaining sinus. Surgical narrowing of the antrostomy inlet with endoscopy dramatically reduced symptoms, and symptom relief was maintained a year after surgery.

Treatment of Facial Neuralgia Developed after Inferior Meatal Antrostomy by Narrowing of the Inlet with Endoscopic Cartilage Graft