Altaf H Shaikh, Amin Shaikh, Rahman Shaikh, Khalid R Shaikh, Amanullah Shaikh.
Status of Diagnostic & Therapeutic Antral Lavage in Maxillary Sinusitis.
Ophthalmol Update Jan ;13(4):329-32.

Objective: This study was chosen to carry out the results of antral lavage and intranasal antrostomy and comparison of gross appearance of sinus mucosa and any pus/secretion during operation and pre operative radiological findings in maxillary sinusitis. Material & Methods: This randomized control study was conducted in the department of ENT Chandka Medical Hospital Larkana during the period from Jan 2010 to Jan 2013. Results: The overall study of 150 cases was conducted. Out of 150 cases 92 (61.31) were male and 58 (38.71) were female and male / female ratio was 1.6:1. Symptomatology was dominated by PND 95%, purulent rhinorrhea 70%, headache 52% and nasal obstruction 25%. The over all results of 150 patients x- ray PNS (OMV) showing mucosal thickening 89 (59.3%) hazy / opaque sinus 40 (26.6%) fluid level 14 (9.4%). Three times antral lavage was done in all 100 patients. Out of 100 patients 33 got no benefit and under went for intra nasal antrostomy along with selected 50 patients. Every patient was fallowed up to 3 weeks. Antral lavage shows 67% benefit and 33% patients got no benefit .While intra nasal antrostomy followed up patients got 90% benefit and 10% got no benefit Conclusion: This study shows that results of intra-nasal antrostomy is better than antral lavage.

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