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Diseases of PNS

Question
25 out of 38
 

The best surgical treatment for chronit maxillary sinusitis is: [AIIMS May 2011]



A Repeated antral washout

B Fiberoptic endoscopic sinus surgery

C Caldwell-Luc's operation

D Horgan's operation

Ans. B Fiber optic endoscopic sinus surgery

Ref. Current otolaryngology 2nd/ed pp 279,280; Dhingra 5th/ed pp 205,209

Management of Acute Sinusitis (Maxillary) is Mainly Conservative with the Help of

i. Antibiotics - ampicillin/amoxicillin

ii. Nasal decongestant drops

iii. Steam inhalation iv. Analgesics

iv. Hot fomentation

Rarely when medical management fails

In acute maxillary sinusitis antral lavage is done.

Chronic Sinusitis

Medical management - It is the treatment of choice

i. Antibiotics (depending on culture)

ii. Nasal and systemic steroids

iii. Antihistaminics

iv. Decongestants

Given for 4-6 weeks ~ Fail ~ Surgery indicated

Surgery

Endoscopic sinus surgery

Open surgery

"Recently endoscopic sinus surgery is replacing radical operations on the sinuses and provides good drainage and ventilation. It also avoids external incision" - Ohingra 5th/ed p 209

It is rarely required

M/c operation done - Caldwell-Luc antrostomy

"The improvement in symptoms with functional endoscopic sinus surgery may be expected in > 90% patients:' - Current otolaryngology 2nd/ed p 279

Diseases of PNS Flashcard List

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