Recirculation of mucus between adjacent openings into the maxillary antrum is a relatively common cause of persistent sinusitis in either the pre- or postsurgical patient. It is particularly common after FESS when the new middle meatal antrostomy has been sited too far posteriorly behind an existing natural maxillary ostium. The condition is easily diagnosed with the nasal endoscope and the surgical remedy of joining the separate openings into one larger antrostomy is readily carried out under local anesthesia in the rhinologist's office.
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References
1.
HildingA.Physiology of drainage of nasal mucus. Experimental work on accessory sinuses.Am J Physiol100: 664, 1932.
2.
MesserklingerW.Endoscopy of the Nose, p. 51, Urban and Scharzenberg, 1978.
3.
WigandM.E., HosemannW.Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base, P. 7, Theime, 1990.
4.
MesserklingerW.Endoscopy of the Nose, P. 30, Urban and Schwarzenberg, 1978.
5.
StammbergerH.Functional Endoscopic Sinus Surgery, BC Decker, Philadelphia, 1991.
StammbergerH.Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part 1. Anatomic and Pathophysiologic Considerations.Otolaryngol Head Neck Surg94: 143–146, 1986.
9.
StammbergerH.Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part 2. Surgical Technique.Otolaryngol Head Neck Surg94: 147–156, 1986.
