Iatrogenic maxillary sinus recirculation and beyond.
Recirculation of nasal mucus occurs when secretions that have been transported out of the natural maxillary ostium return to the sinus via a surgically created or accessory ostium. Recirculation increases the risk of persistent sinus infection. In this article, we describe a case of mucus recirculation in a patient who had not responded to two previous sinus surgeries for recurrent rhinosinusitis. We also postulate the possibility of ethmoid recirculation.
Gutman
Michael
M
Department of Otolaryngology, MetroHealth Medical Center, School of Medicine, Case Western Reserve University, Cleveland, USA.
Houser
Steve
S
D004724:Endoscopy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D015523:Maxillary Sinusitis / Q000503:physiopathology* / Q000601:surgery; D008875:Middle Aged; D009079:Mucociliary Clearance; D012008:Recurrence