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Patency of inferior meatal antrostomy
Affiliation:1. Department of Public Health, Experimental Medicine and Forensic, University of Pavia, Italy;2. Department of Biotechnology and Life Sciences, Insubria University, Varese, Italy;3. Department of Radiology, Cardarelli Hospital, Naples, Italy;4. Saydet Zgharta Hospital, North Lebanon, Lebanon;5. Department of Medical Sciences, University of Ferrara, Italy;6. ASST, Valle Olona, Gallarate Urology Division, Italy;7. University Museum, State University “Gabriele d''Annunzio”, Chieti, Italy;1. Faculdade de Medicina de Juiz de Fora, Universidade Presidente Antônio Carlos, Juiz de Fora, MG, Brazil;2. Department of Pathology, Faculdade de Medicina de Juiz de Fora, Universidade Presidente Antônio Carlos, Juiz de Fora, MG, Brazil;3. Department of Oral and Maxillofacial Surgery, Centro Médico Rio Branco, Juiz de Fora, MG, Brazil;1. Department of Cardiothoracic Surgery, Waikato Hospital, Waikato, New Zealand;2. Department of Surgery, Auckland University, Auckland, New Zealand;3. Department of Cardiothoracic Anesthesia, Waikato Hospital, Waikato, New Zealand;1. Department of Otorhinolaryngology and Head and Neck Surgery, Abant İzzet Baysal University Medical Faculty, Bolu, Turkey;2. Otorhinolaryngology Clinic, Kapadokya Private Hospital, Nevşehir, Turkey;3. Otorhinolaryngology Clinic, Ankara Atatürk Teaching and Research Hospital, Ankara, Turkey;1. Cardiology Clinical of Physiotherapy Division of the 2nd Faculty of Medicine, Medical University of Warsaw, Bielański Hospital in Warsaw, Poland;2. Department of Cardiology, Provincial St. Mary Hospital in Częstochowa, Poland
Abstract:Objective: To evaluate the patency and effectiveness of inferior meatal antrostomy for the treatment of maxillary lesions. Methods: Patients suffering from moderate-to-severe chronic sinusitis who underwent inferior meatal antrostomies at St. Marianna University Toyoko Hospital and followed up for at least 1 year after surgery were selected. Thirty sides of 27 patients were analyzed. Postoperative mucociliary function was examined in seven sides of seven patients. Results: No closure was observed in all 30 procedures. Out of 30 antra, 26 (86.7%) had normal antral mucosa. Recurrent mucosal lesions inside the maxillary sinus were successfully treated through the inferior meatal window. No cases showed circular flow on the india ink test. All sinuses exhibited a discharge from the middle meatal window and three out of seven sinuses exhibited a discharge from the inferior meatal window. Conclusions: Although long-term follow-up is required to determine the patency of inferior meatal antrostomy, initial results are encouraging. The inferior meatal window provides both intra- and postoperative benefits.
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