Sinusites maxillaires

Maxillary sinusitis usually results from obstruction of the ostia or from a periodontal disease. Depending on the course of the disease, maxillary sinusitis has been characterized as acute, subacute, recurrent acute, and chronic maxillary sinusitis. Acute bacterial maxillary sinusitis occurs most commonly after an acute viral upper respiratory tract infection. The diagnosis of acute maxillary sinusitis is based on clinical symptoms as fever, nasal congestion, purulent rhinorrhea and unilateral facial pressure or pain. The diagnosis of chronic maxillary sinusitis is more difficult due to the lack of universally accepted guidelines for its diagnostic. The diagnostic procedures include physical examination, endoscopic examination of the middle meatus, and computed tomography (CT). Dental examination is required in diagnosing a periodontal disease. The Denta-scan can be appropriate in dental disease. Antibiotics are the primary therapy for bacterial maxillary sinusitis. Surgery can be performed in case of maxillary sinusitis refractory to medical therapy. The gold standard of maxillary sinusitis surgery is the endoscopy-assisted endonasal middle meatotomy.