Abstract
Abnormalities in the ostiomeatal complex (OMC) constitute a major factor in the pathogenesis of sinusitis. They may be appreciated by the classical anterior rhinoscopy, the endoscopic examination, and/or the coronal computed tomographic (CT) scan. Cases are seen, however, with clinical and radiological evidence of blockage of the OMC with no clinical sinusitis. Conversely, cases with definite sinusitis may have negative clinical examination and CT scans. Some patients continue to have sinusitis despite anatomically successful endoscopic surgery. It should be remembered that sinusitis may be caused by or facilitated by factors other than obstructions of the OMC. The decision to surgically treat sinusitis remains a clinical one based on a comprehensive evaluation.
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