Maxillary sinusitis is one of the most frequent pathologies in ENT practice. Usually it resolves with proper medication but sometimes the pathology is hard to manage without surgery. Surgery may be performed, the most used being medial antrostomy. Other types of surgery are: balloon catheters in endoscopic sinus surgery, Caldwell-Luc Procedure and Inferior Antrostomy. The potential complications of endoscopic surgery are: orbital injury, blindness, orbital hematoma, nasolacrimal duct injury, epiphora, and postoperative epistaxis. Skull base injury and cerebrospinal fluid leak are very rare complications that should be discussed with patients undergoing endoscopic sinus surgery. The potential complications of Caldwell-Luc procedure include oroantral fistula, infraorbital nerve injury with associated hypesthesia, and injury to the tooth roots. The main risk associated with inferior antrostomy is nasolacrimal duct injury.
Keywords: maxillary sinusitis, antrostomy, CaldwellLuc procedure.
Mihail Tușaliu, MD, PhD
Institute of Phonoaudiology and Functional ENT Surgery „Prof. Dr. D. Hociotă“, 21
Mihail Cioranu street, 5th District, Bucharest, Romania