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THE OSTIUM MAXILLARE: ANATOMIC STUDY OF ITS SURGICAL ACCESSIBILITY

THE OSTIUM MAXILLARE: ANATOMIC STUDY OF ITS SURGICAL ACCESSIBILITY Abstract Probing the natural orifice of the maxillary sinus is the routine practice of some rhinologists, whereas there are many who seldom attempt this method of approach to the antrum. The latter group, representing no doubt a vast majority, usually irrigate the sinus through an artificial opening in the wall of the inferior meatus. The reasons for their preference are: 1. They have difficulty in locating the natural ostium in a large percentage of cases. 2. The sinus cannot be properly flushed out when the return flow is partially blocked by the cannula. 3. Instrumentation of the ostium injures and inflames its membranous lining. 4. The search for the orifice irritates the soft structures of the middle turbinate and the outer nasal wall, producing congestion in the middle meatus, with further blocking of drainage. 5. Spread of infection to the ethmoid labyrinth or even to the orbit is possible, References 1. Dintenfass, H.: Inferior Meatal Puncture Versus Catheterization of Natural Orifice , Laryngoscope 42:943-995 ( (Dec.) ) 1932.Crossref 2. Myerson, Mervin: The Natural Orifice of the Maxillary Sinus: I. Anatomic Studies , Arch. Otolaryng. 15:80-91 ( (Jan.) ) 1932.Crossref 3. Myerson, Mervin: Natural Orifice of the Maxillary Sinus: II. Clinical Studies , Arch. Otolaryng. 15:716-733 ( (May) ) 1932.Crossref 4. Hajek, M.: Pathology and Treatment of the Inflammatory Diseases of the Nasal Accessory Sinuses , St. Louis, C. V. Mosby Company, 1926, vol. 1, p. 293. 5. Mosher, H. P.: Surgical Anatomy of Ethmoidal Labyrinth , Tr. Am. Acad. Ophth. 34:376-410, 1929. 6. Neivert, Harry: Surgical Anatomy of the Maxillary Sinus , Laryngoscope 40:1-4, 1930.Crossref 7. Smith, Harmon: Nonsurgical Consideration of Empyema of the Maxillary Sinus , Laryngoscope 40:5-6 ( (Jan.) ) 1930. 8. Imperatori, Charles J.: The Intranasal Treatment of Suppurative Disease of the Maxillary Sinus , Laryngoscope 40:7-9 ( (Jan.) ) 1930.Crossref 9. Davis, Warren B.: Nasal Accessory Sinus in Man , Philadelphia, W. B. Saunders Company, 1914. 10. Figures 5 to 12 are drawings made from specimens in my collection in the anatomic museum of the Department of Otology, Rhinology and Laryngology, Department of Medicine, University of Illinois. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

THE OSTIUM MAXILLARE: ANATOMIC STUDY OF ITS SURGICAL ACCESSIBILITY

VAN ALYEA, O. E.
Archives of Otolaryngology , Volume 24 (5) – Nov 1, 1936
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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1936.00640050566001
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Abstract

Abstract Probing the natural orifice of the maxillary sinus is the routine practice of some rhinologists, whereas there are many who seldom attempt this method of approach to the antrum. The latter group, representing no doubt a vast majority, usually irrigate the sinus through an artificial opening in the wall of the inferior meatus. The reasons for their preference are: 1. They have difficulty in locating the natural ostium in a large percentage of cases. 2. The sinus cannot be properly flushed out when the return flow is partially blocked by the cannula. 3. Instrumentation of the ostium injures and inflames its membranous lining. 4. The search for the orifice irritates the soft structures of the middle turbinate and the outer nasal wall, producing congestion in the middle meatus, with further blocking of drainage. 5. Spread of infection to the ethmoid labyrinth or even to the orbit is possible, References 1. Dintenfass, H.: Inferior Meatal Puncture Versus Catheterization of Natural Orifice , Laryngoscope 42:943-995 ( (Dec.) ) 1932.Crossref 2. Myerson, Mervin: The Natural Orifice of the Maxillary Sinus: I. Anatomic Studies , Arch. Otolaryng. 15:80-91 ( (Jan.) ) 1932.Crossref 3. Myerson, Mervin: Natural Orifice of the Maxillary Sinus: II. Clinical Studies , Arch. Otolaryng. 15:716-733 ( (May) ) 1932.Crossref 4. Hajek, M.: Pathology and Treatment of the Inflammatory Diseases of the Nasal Accessory Sinuses , St. Louis, C. V. Mosby Company, 1926, vol. 1, p. 293. 5. Mosher, H. P.: Surgical Anatomy of Ethmoidal Labyrinth , Tr. Am. Acad. Ophth. 34:376-410, 1929. 6. Neivert, Harry: Surgical Anatomy of the Maxillary Sinus , Laryngoscope 40:1-4, 1930.Crossref 7. Smith, Harmon: Nonsurgical Consideration of Empyema of the Maxillary Sinus , Laryngoscope 40:5-6 ( (Jan.) ) 1930. 8. Imperatori, Charles J.: The Intranasal Treatment of Suppurative Disease of the Maxillary Sinus , Laryngoscope 40:7-9 ( (Jan.) ) 1930.Crossref 9. Davis, Warren B.: Nasal Accessory Sinus in Man , Philadelphia, W. B. Saunders Company, 1914. 10. Figures 5 to 12 are drawings made from specimens in my collection in the anatomic museum of the Department of Otology, Rhinology and Laryngology, Department of Medicine, University of Illinois.

Journal

Archives of Otolaryngology – American Medical Association

Published: Nov 1, 1936

References

  • Inferior Meatal Puncture Versus Catheterization of Natural Orifice
    Dintenfass , H.
  • The Natural Orifice of the Maxillary Sinus: I. Anatomic Studies
    Myerson , Mervin
  • Natural Orifice of the Maxillary Sinus: II. Clinical Studies
    Myerson , Mervin
  • Pathology and Treatment of the Inflammatory Diseases of the Nasal Accessory Sinuses
    Hajek , M.
  • Surgical Anatomy of Ethmoidal Labyrinth
    Mosher , H. P.
  • Surgical Anatomy of the Maxillary Sinus
    Neivert , Harry
  • Nonsurgical Consideration of Empyema of the Maxillary Sinus
    Smith , Harmon
  • The Intranasal Treatment of Suppurative Disease of the Maxillary Sinus
    Imperatori , Charles J.
  • Nasal Accessory Sinus in Man
    Davis , Warren B.