Abstract

Background: FESS emerges as the primary surgical modality for sinus diseases, the most common procedure being middle meatal antrostomy (MMA) for chronic maxillary sinusitis (CMS). The present study was conducted to assess cases of middle meatal antrostomy of chronic maxillary sinusitis.
Materials & Methods: 80 patients of chronic maxillary sinusitis of both genders underwent Middle meatal antrostomy. Patients were followed up till 9 months.
Results: Out of 80 patients, males were 42 and females were 38. Endoscopic appearance score for polyp at baseline was 28, at 6 months was 12 and at 1 year was 1, endoscopic appearance score for oedema at baseline was 56, at 6 months was 10 and at 1 year was 2. Endoscopic appearance score for secretion at baseline was 60, at 6 months was 26 and at 1 year was 4. Radiological score 0 was seen in 20, 1 in 28 and 2 in 30. The difference was significant (P< 0.05). Symptoms score at 6 months for nasal blockage was 12, facial pain was 8, headache was 6, epistaxis was 10, post nasal discharge was 8. Symptoms score at 9 months for nasal blockage was 7, facial pain was 4, headache was 1, epistaxis was 3 and post nasal discharge was 2. The difference was significant (P< 0.05).
Conclusion: Middle meatal antrostomy is routinely employed methods for management of chronic maxillary sinusitis. It is a safe and effective procedure.