Comparative study between intranasal antrostomy and antral lavage

ABSTRACT

This study was conducted to carry out comparison between intranasal antrostomy and antral lavage and comparison of gross appearance of sinus mucosa and any pus/secretion during operation and pre-operative radiological findings. To establish the following facts i] Improve the aeration and draining of maxillary sinus to prevent the complications of maxillary sinusitis. ii] Gross appearance of sinus mucosa and any pus/secretion in patients not responding to conservative management, Prospective study. This study was conduded in the departments of ENT, Chandka Medical College Hospital, Larkana and Civil Hospital, Karachi from Dec 2004 to Dec 2007. Total no of 150 cases were selected in this study with non febrile, acute, sub-acute and chronic maxillary sinusitis, divided into two groups. First group was treated with antral lavage under general anaesthesia. The second group was treated by intra nasal antrostomy under general anaesthesia. The comparison data between 1st and 2nd and between 2nd and 3rd lavage nearly the same with minor degree of improvement. Most of the patients undergoing for intra nasal antrostomy [including 33 patients who were not responding to antral lavage] were relieved from their symptoms by this procedure