<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>OBJECTIVE.</bold> To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters.
<bold>MATERIAL AND METHODS.</bold> All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 weeks after surgery.
<bold>RESULTS.</bold> MMA did about 6.82% better than INA in relieving symptoms, had 1.08% better CT image and 4.58% better in regards of nasal endoscopy findings.
<bold>CONCLUSION.</bold> Although endoscopic Middle Meatal Antrostomy is a newer and more non-invasive procedure, the age-old Intranasal Antrostomy with Nasoantral Window-Plasty is still relevant in the management of chronic maxillary sinusitis in this modern age in our rural area.
</abstract>

OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters.
MATERIAL AND METHODS. All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 weeks after surgery.
RESULTS. MMA did about 6.82% better than INA in relieving symptoms, had 1.08% better CT image and 4.58% better in regards of nasal endoscopy findings.
CONCLUSION. Although endoscopic Middle Meatal Antrostomy is a newer and more non-invasive procedure, the age-old Intranasal Antrostomy with Nasoantral Window-Plasty is still relevant in the management of chronic maxillary sinusitis in this modern age in our rural area.

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with...

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Published Online: Apr 30, 2022

Page range: 78 - 84

Received: Dec 28, 2021

Accepted: Feb 15, 2022

DOI: https://doi.org/10.2478/rjr-2022-0012

Keywords
middle meatal antrostomy, intranasal antrostomy, maxillary sinusitis, Lund-Kennedy score, Lund-Mackay score

© 2022 Sindu Mohan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Published Online: Apr 30, 2022

Page range: 78 - 84

Received: Dec 28, 2021

Accepted: Feb 15, 2022

DOI: https://doi.org/10.2478/rjr-2022-0012

Keywordsmiddle meatal antrostomy, intranasal antrostomy, maxillary sinusitis, Lund-Kennedy score, Lund-Mackay score

© 2022 Sindu Mohan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
middle meatal antrostomy, intranasal antrostomy, maxillary sinusitis, Lund-Kennedy score, Lund-Mackay score