title: Experience of a permanent ventilation and drainage system in the management of purulent maxillary sinusitis.
abstract: Fifty patients with purulent maxillary sinusitis, 11 patients with pressure-induced maxillary pain, and 14 patients undergoing maxillary sinus surgery were treated with a new type of permanent ventilation and drainage tube. With use of local anesthesia and as an office procedure, an inferior meatus antrostomy was performed with a circular-bore trephine, and a medical-grade, x-ray-dense silicone tube was inserted to secure the ventilation and drainage. Experience of 14 months of clinical use demonstrated a high success rate (92%) in cases of recurrent and chronic purulent sinusitis. All patients with pressure-induced pain were free from symptoms throughout the observation time. Only a few minor complications were observed. Among the advantages of the method is a more aggressive and early treatment in cases of purulent maxillary infections, possibly prior to the development of irreversible mucosal damage.
authors.affiliation: Department of Otorhinolaryngology, Karolinska Hospital, Stockholm, Sweden.
authors.forename: O
authors.initials: O
authors.lastname: Berg
authors.forename: L
authors.initials: L
authors.lastname: Lejdeborn
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D002908:Chronic Disease; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007440:Intubation / Q000009:adverse effects / Q000295:instrumentation*; D008297:Male; D015523:Maxillary Sinusitis / Q000601:surgery*; D019736:Prostheses and Implants; D012008:Recurrence; D013492:Suppuration; D013530:Surgical Wound Infection / Q000209:etiology
chemical_list: D001672:Biocompatible Materials