Abstract
AbstractHistorically otolaryngologists have penetrated the maxillary sinus through the inferior meatus for purposes of irrigating the sinus. Van Alyea introduced the natural ostium canula, but my impression has been that most otolaryngologists continue the inferior meatus route.There are sufficient side effects of the inferior meatus technique, bleeding, pain, syncope, to name the most common, that an alternate route with reduced side effects might be of interest. I have tried the canine fossa approach on about 25 patients with good success and consistently fewer side effects. The technique is simple enough, and patients that have had inferior meatus puncture and canine fossa puncture prefer the latter procedure.The purpose of the article is not to present a controlled study but to bring to the attention of otolaryngologists an alternate route of maxillary sinus puncture which might be of interest. Additional controlled study would be necessary to confirm the impressions outlined.
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