Intranasal Antrostomy Research Articles

Transcannular maxillary antral biopsy with Tru-Cut needle.

A Transcannular Tru-Cut needle maxillary antral biopsy technique, which has been devised as an out-patient procedure to speed up histological diagnosis in antral disease, is here described. A trial carried out with this technique shows that the histological diagnosis reached from such biopsy specimens compares favourably with that reached from specimens taken through an intranasal antrostomy.

Injury to developing canines as a complication of intranasal antrostomy: Report of a case

A case is presented in which a 7-year-old boy had an intranasal antrostomy made, during which operation both developing permanent canines were injured. Despite complete resection of the roots, both canines erupted normally, supporting recent experimental studies of the eruption mechanism which suggested the importance of the tooth follicle instead of root growth as the essential mechanism for tooth eruption. Methods to prevent damage to permanent tooth germs during intranasal osteotomy are described.

The Caldwell-Luc Operation Revisited

The controversy concerning the indications for intranasal antrostomy versus the Caldwell-Luc operation has been debated for many years. Arguments against the Caldwell-Luc procedure are primarily based upon morbidity of the procedure, while arguments against nasal antrostomy point to inadequate access, exposure, and failure to eradicate disease. This presentation reviews the literature and the author's experience with over 270 Caldwell-Luc procedures. Some technical considerations that have produced good results are suggested. The exact indications for nasal antrostomy remain unclear.

Caldwell-Luc operation in the treatment of childhood bronchial asthma.

A follow-up study was carried out in 15 children with severe bronchial asthma. Chronic infection of the paranasal sinuses was connected with the unfavorable course of their bronchial asthma. As adenoidectomy and intranasal antrostomy had failed to cure the sinusitis, the Caldwell-Luc operation was performed at the age of 6-16 years. The follow-up examination was done 3-12 years after the radical operation of the maxillary sinuses. The majority of the patients had normal working capacity, and the need of medical treatment was reasonable. It is concluded that the Caldwell-Luc operation is indicated in children with severe bronchial asthma, when repeated respiratory infections are associated with asthmatic attacks and adenoidectomy and intranasal antrostomy have proved ineffective.

Intranasal antrostomy — causes of failure

A brief historical review of the intranasal antrostomy is followed by a list of possible causes of failure of the procedure. Definitions of various terms employed are given and a full description of the author's technique of making the antral window. Long-term follow-up of between 6 and 12 years has been possible in 87 patients. The various causes of recurrent problems in this group of patients are reported. Emphasis is placed on the desirability of informing the patient of the reasons for the antrostomy and explaining what can and cannot be expected from the procedure.

Experience with various procedures in the treatment of orbital floor fractures

Experience gained in the treatment of 75 patients with orbital floor injuries is presented. These injuries occurred independently or in association with mid-face fractures. In fractures of the zygomatic bone and the zygomatic part of the orbit repositioning of the zygomatic bone by a traction hook is the simplest method. In recent multiple fractures of the mid-face it is most suitable to use a lamina from the anterior or medial wall of the maxillary sinus for bridging the orbital floor defect. Osteoplasty of the orbital floor using an iliac bone graft is the method of choice in the treatment of neglected blow-out fractures fo the orbital floor. In cases with recent blow-out fractures of the orbital floor the defect can be bridged by bone taken from the hip or a lamina from the anterior wall of the maxillary sinus. It is not necessary to perform intranasal antrostomy of gauze packing of the sinus.

Effects of intranasal antrostomy and antral lavage upon unerupted permanent teeth.

Effects of intranasal antrostomy and antral lavage upon unerupted permanent teeth.

Microscopic antrostomies in children: a review of the literature in chronic sinusitis and a plan of medical and surgical treatment.

Potential complications, morbidity, treatment failures and "nasal cripples" make one cautious about advising radical sinus surgery. Though antibiotics have greatly reduced the need for radical surgery, some patients do not respond to conservative treatment. Reviewed is pertinent literature concerning treatment of chronic, refractory sinusitis in children, particularly intranasal antrostomy. Medical treatment for chronic sinusitis precedes surgical intervention. Allergic history, nasal cytology and radiographic examination are essential. Since principles of adequate surgical drainage and ventilation have long been established, controlled antrostomy procedure is done with the aid of the operating microscope, creating a nasal mucosal flap. A new instrument is presented---a self-retaining stabilized retractor speculum which allows adequate visualization with the microscope while protecting the mucosal flap and freeing both hands for the procedure.

Intranasal antrostomy with nasoantral window-plasty. (Kim's antrostomy).

Intranasal antrostomy with nasoantral window-plasty. (Kim's antrostomy).

Adenotomy, antrostomy and Caldwell-Luc operation in the treatment of chronic bronchitis in children.

The study is based on 45 children with chronic bronchitis. Their ages varied between 2 and 15 years, the average being 8 years 6 months. 44 children had diseases of the nose, paranasal sinuses or nasopharynx. Adenotomy was performed on 42 children and 16 of these were helped by this operation. In 22 cases intranasal antrostomy was made in the inferior meatus with a good or satisfactory result in 14. The Caldwell-Luc operation, performed on 14 children, had a good or satisfactory effect on both sinusitis and bronchitis in all cases thus treated.