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8 Cards in this Set

  • Front
  • Back

Maxillary s. Etiology

1.viral rhinitis


2. Diving and swimming in contaminated water


3. Dental infections


4. Trauma


Clinical of maxillary s


1.constitutional symptoms


2.headache


3. Pain-upper jaw


4.tenderness


5.redness and edema of cheek


6.nasal discharge


7. Postnasal discharge

Diagnosis of maxillary sinusitis

Transillumination test


X rays

Complication max sinusitis


1. Subacute or chronic sinusitis


2.frontal sinusitis


3. Osteitis


4.orbital cellulitis

Chronic sinusitis

Pathophysiology- unresolved acute- pooling and stagnation--loss of cilia, edema and polyp



Pathology-hypertrophy / atrophy


Bacteriology-mixed


Cl/f: acute but less severe, foul smelling discharge, local pain and headache



Dx-xray , xray with contrast, CT, aspiration and irrigation

Rx of c/c max sinusitis

1.antral puncture and irrigation


2.intranasal antrostomy


3.caldwell- luc operation

Chronic frontal sinusitis


1.intranasal drainage operations


2. Trephination of frontal sinus


3.external frontoethmoidectomy


4. Osteoplastic flap operation

Chronic ethmoid sinusitis treatment

1.intranasal ethmoidectomy


2.external ethmoidectomy