Management of Inflammation of the Maxillary Sinus

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INFLAMMATION of the maxillary sinus is a disease that is common despite the current widespread use of the many new antibiotic agents. A systematized approach to the management of this disease, an approach that is useful not only to rhinologists but also to physicians in general, is outlined in this paper. Although the discussion is limited to maxillary sinusitis, many of the aspects discussed are common to other types of sinusitis as well.

Etiology and Classification

The predisposing factors of inflammation of the maxillary sinus may be grouped as follows:


  1. Vasomotor rhinitis

    1. Allergic

    2. Metabolic

    3. Chemical

    4. Mechanical

  2. Septal deformities

  3. Turbinate abnormalities

  4. Adenoidal obstruction

  5. Dental neglect


Includes patients having poor hygiene or faulty living conditions or those suffering from chronic debilitating diseases with lowered general resistance, such as diabetes and malnutrition.

The variations in the disorder may be classified as:

  1. Catarrhal sinusitis (acute)

  2. Suppurative sinusitis

    1. Acute

    2. Subacute

    3. Chronic

  3. Hyperplastic sinusitis

The factor actually initiating inflammation of the maxillary sinus usually is an acute rhinitis such as that which accompanies the common cold, influenza, exanthemas, exacerbation or acute onset of allergic rhinitis, and dental sepsis. An estimated 10 per cent are initiated by spread of dental sepsis, either spontaneous or induced by dental manipulation.

Diagnosis and Treatment

Catarrhal sinusitis (acute). Acute catarrhal sinusitis ordinarily is not differentiated from the acute rhinitis which it commonly accompanies. The patient having acute catarrhal sinusitis may state that he has . . .



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