Background: Unilateral maxillary sinusitis is a multifactorial disease. Any anatomical, physiological or pathological features which in a way obstruct free drainage from sinuses permits stasis of secretion and predisposes to infection. In this study every attempt is made to find out possible etiology contributing to unilateral maxillary sinusitis so that correction of etiology will help in correcting the disease and also results in successful outcome of treatment.

Material & Methods: This is a cross sectional study was done in 100 patients presenting with symptoms and signs suggestive of unilateral maxillary chronic sinusitis duration of more than 12 weeks. Intra oral peri apical radiographs were taken of maxillary teeth. Imaging of nose and PNS was done with sinus computed tomography, maxillary teeth on CT were examined for periapical lucencies.

Results: The present study showed that maximum number of patients were above 25 years of age. The mean age of patients was 48.82±20.47 years in our study (table 1). Male to female ratio was 3.16:1 & rural was more common (80%) as compared to urban (20%). The most common symptoms were headache/facial pain (80%).The majority of cases had treated with Septoplasty with MMA in 35% cases followed by conservative treatment was done in 24% cases, FESS was done in 19% cases, Turbinoplasty with MMA in 12% cases and endoscopic remodeling of paradoxical turbinate was done in 10% of cases.

Conclusion: We concluded that certain anatomical variations are thought to be predisposing factors for the development of sinus disease it is necessary, for the surgeon to be aware of these variations.

Keywords: Unilateral maxillary sinusitis, Deviated nasal septum, Septoplasty, Turbinoplasty.

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Dr Beni Prasad

Professor & Head, Department of Otorhinolaryngology, National Institute of Medical Sciences and Research & Hospital, Jaipur, India