A Clinical Study of Different Modalities for the Management of Chronic Maxillary Sinusitis

Background: Chronic maxillary sinusitis is a very commonpresentation in otorhinolaryngology clinics. It has diverseaetiology and varied symptoms at presentation. Its treatmentrequires a comprehensive approach for successful outcomes.We in the present study tried to evaluate the aetiology ofchronic maxillary sinusitis and outcomes of treatment ofchronic maxillary sinusitis.Methods: Patients presenting with clinical features of Chronicrhinosinusitis of all age groups and sexes were included in thestudy. The patients were subjected to general examination fromhead to toe which included the examination of the Respiratorysystem and cardiovascular system. ENT examination along withhead neck was done. X-Ray (Water's view), C.T Scan PNSCoronal, and Sagittal sections for selected patients.Results: Antibiotics, antihistamines, decongestants, steaminhalations, and in some cases intranasal steroids (Budesonide,Beclomethasone, Fluticasone). Surgery: Antral wash n=16cases, Intranasal Antrostomy n=2 cases, Caldwell Luc n=2 cases,Maxillary sinoscope n=2 cases, FESS n=38 casesinvolvinguncinectomy, middle meatal antrostomy, anteriorethmoidectomy, posterior ethmoidectomy, sphenoidotomy,frontal sinus infundibulotomy, and polypectomy.Conclusion: The commonest organism responsible wasstreptococcus pneumoniae. Improvement in the diagnostictechniques and availability of nasal endoscopy and CT scanwhich can show clearly the anatomy of osteomeatal complexhas led to better management of the disease. Nasal endoscopeshave allowed a meticulous delicate removal of the diseasedmucosa which preserving the normal mucosa and structuresconsequently the postoperative complications are very few andmost of the cases get relief from the symptoms of the disease