Abstract

Background and objectives: Sinusitis is an exceptionally common disease more so maxillary sinusitis. The objective of the study was to do a comprehensive clinical study of chronic maxillary sinusitis.
Methods: This was a descriptive time bound study conducted between 2020-2021, at the Department of ENT, DMCH, Darbhanga. A total of 70 patients with diagnosis of chronic maxillary sinusitis were included in the study. Among these Inferior meatal antrostomy was performed in 30 patients, Middle meatal antrostomy in 30 patients and Caldwell-Luc’s operation in 10 patients. All patients were followed up for a period of six months and improvement in signs and symptoms were documented.
Results: Chronic maxillary sinusitis was commonest in the age group between 20 and 40 years with male preponderance (M:F=1.8:1). The commonest clinical features were nasal discharge (57%), headache (57%), maxillary sinus tenderness (85%), and purulence in middle meatus (50%). X-Ray paranasal sinuses (Water’s view) showed air-fluid level in maxillary sinus in 57% of patients. Staphylococcus aureus (48.5%) and Pseudomonas aeruginosa were the common organisms cultured from maxillary antrum of these patients.
Conclusion: Middle meatal antrostomy was an effective surgical treatment for chronic maxillary sinusitis when compared to Inferior meatal antrostomy and Caldwell-Luc operation