Abstract

Aim: To determine the treatment outcome of antral washout in patients with initial stages of maxillary sinusitis

Study Design: Descriptive case series

Place and Duration of Study: Department of ENT, Pak Red Crescent Medical and Dental College, Kasur from 1st January 2020 to 30th June 2020

Methodology: One hundred male patients presented with subacute maxillary sinusitis were enrolled in this study. Patients detailed demographics including age, BMI, symptoms and preoperative PNS X-ray findings were recorded after taking written consent. At maximum wash out was done 3 to 4 times; till aspirated fluid is clear. Post operatively X-ray paranasal sinuses were done again to see the status of maxillary sinus. Symptom relief was also accessed.

Results: Mean age of patients was 32.45±8.62 years. Mean BMI was 25.36±2.14 kg/m2. Purulent rhinorrhea was most dominant symptom (97%), followed by nasal obstruction (85%), headache and facial pain (66%). 85 (85%) patients get full relief of the symptoms while 15 (15%) patients need for more antibiotics according to the report of culture sensitivity along with steroid nasal spray and antihistamine for two weeks to treat nasal allergies.

Conclusion: Antral washout is safe and effective for the treatment of acute and subacute maxillary sinusitis.

Keywords: Maxillary sinusitis, Antral washout, Purulent discharge