Maxillary Sinus And Its Implications Question And Answers

Maxillary Sinus And Its Implications Definitions

Oroantral fistula: It is an epithelioid, pathological, unnatural communication between the oral cavity & maxillary sinus

Maxillary Sinus And Its Implications Important Notes

1. Radiographic features of maxillary sinusitis:

  • Acute sinusitis:
    • Shows uniform opacity
    • Sometimes a fluid level is decreased
  • Chronic sinusitis:
    • Shows pansinusitis
    • Presence of fluid level
    • Thickened lining membrane
    • Opaque airspace may enclose polyps associated with mucosal thickening
    • In the case of the presence of a tooth or root the characteristic outline is seen within the sinus

2. Boundaries of the maxillary sinus

  • Roof: Formed by the floor of the orbit
  • Floor: Alveolar process of maxilla
  • Anterior Wall: The facial surface of the maxilla
  • Posterior Wall: Sphenomaxillary wall
  • Medial Wall: Lateral wall of the nasal cavity

3. Intranasal antrostomy:

  • It is performed to facilitate drainage at the conclusion os an operation
  • To close oroantral fistula or
  • To remove a tooth or root from sinus
  • Surgical Procedure:
    • A small-sized osteotome or gouge is pushed through the inferior meatus in the nasal cavity into the maxillary sinus
    • A topical anaesthesia ointment is applied to the cotton wool which is inserted along the nasal floor adjacent to the lateral wall of the nose near the inferior turbinate
    • A sharp trocar and cannula are then introduced along the floor of the nasal cavity inferior to the inferior turbinate

4. Functions of the maxillary sinus:

  • Humidification of inspired air
  • Resonance to voice
  • Lightens skull bones
  • Thermal insulator
  • Protects eye & cranium

Maxillary Sinus And Its Implications Long Essays

Question 1. Write a note on the anatomy of the maxillary sinus. Describe in detail about Oro antral fistula.
(or)
Define boundaries of the maxillary sinus. Describe the technique for closure of oroantral communication.
(or)
Describe the surgical anatomy of the maxillary sinus. Write a note on oroantral fistula. Antrum of High more
Answer:

Maxillary Sinus:

  • It is pyramidal in shape with base forming the lateral nasal wall & apex at the root of the zygote.
    • Capacity: 10-15 ml
    • Size: Height 3.5 cm
    • Width: 2.5 cm
  • Anteroposterior depth: 3.2 cm

Boundaries of Maxillary Sinus:

  • Roof: Formed by the floor of the orbit
  • Floor: Alveolar process of maxilla
  • Anterior Wall: Facial surface of maxilla
  • Posterior Wall: Sphenomaxillary wall
  • Medial Wall: Lateral wall of nasal cavity
  • Vascular & Nerve Supply
  • Blood Supply: Facial artery
    • Infraorbital artery
    • Greater palatine artery
  • Nerve Supply:
    • Infraorbital nerve
    • Anterior, middle & posterior superior alveolar nerves
  • Lymphatic Drainage: Submandibular lymph nodes

Read And Learn More: Oral and Maxillofacial Surgery Question and Answers

Definition of Oro Antral Fistula:

It is an epithelized, pathological, unnatural communication between oral cavity & maxillary sinus

Maxillary Sinus And Its Implications Oro Antral Fistula

Question 2. Enumerate etiological factors of oro-antral fistula. Add a brief note on its management.
(or)
What are the causes of oro-antral communication? Describe any one method of surgical closure.
Or
Management of Oro antral fistula / Caldwellluc procedure
Answer:

Oro-antral fistula

Maxillary Sinus And Its Implications Oro Antral Fistula .

Management of oro-antral fistula:

  • Caldwellluc operation

Indications of oro-antral fistula:

  • Chronic maxillary sinusitis
  • Removal of foreign bodies
  • Cyst & tumours
  • For biopsy
  • Recurrent cases
  • Antral polyp

Contraindications of oro-antral fistula:

  • Young age
  • Acute infection
  • Systemic cases

Procedure of oro-antral fistula:

  • Anaesthetize
  • Semilunar incision given in mucobuccal fold in the canine region
  • Reflection of flap
  • Creation of window
  • Removal of sinus lining for biopsy
  • Antrostomy
  • Packing the sinus cavity through ribbon guaze impregnant in benzoin
  • Smoothening of bony margins
  • Replace the flap
  • Suturing

Maxillary Sinus And Its Implications Caldwelluc Procedure

Maxillary Sinus And Its Implications Caldwelluc Operation

Question 3. Write about Embryogenesis 
Answer:

Embryogenesis:

  • In the early stages, the maxillary sinus is high in the maxilla Later gradually grows downward by a process of pneumaticsation.
  • The expansion of the sinuses normally ceases after the eruption of permanent teeth.
  • In adults, the apices of the posterior teeth may be external to the sinus cavity.

Maxillary Sinus And Its Implications Short Essays

Question 1. Acute sinusitis.
Answer:

Etiology of Acute Sinusitis:

  • Nasal infections
  • Dental infections
  • Trauma

Causative Organisms of Acute Sinusitis:

  • Streptococcus
  • Pneumococci
  • Staphylococci

Clinical Features of Acute Sinusitis:

  • Pain on lowering your head
  • Tenderness in the canine fossa
  • Redness of the area
  • Nasal discharge
  • Nose block
  • Change in voice
  • Dry cough
  • Fever
  • Malaise
  • Headache

Investigations of Acute Sinusitis:

  • The water’s view shows the haziness of antrum
  • Transillumination test: opacity of sinus
  • Culture: Shows organisms

Management of Acute Sinusitis:

  • Antibiotics
  • Decongestants
  • Analgesics
  • Antihistamines
  • Steam inhalation
  • Local heat application
  • Antral lavage
  • Irrigation of sinus through lukewarm water

Complications of Acute Sinusitis:

  • Chronic sinusitis
  • Osteomyelitis
  • Middle ear infection
  • Cellulitis
  • Abscess

Maxillary Sinus And Its Implications Short Question And Answers

Question 1. Functions of the maxillary sinus
Answer:

Functions of the maxillary sinus

  • Humidification of inspired air
  • Resonance to voice
  • Lightens skull bones
  • Thermal insulator
  • Protects eye & cranium

Question 2. Rohrmann’s flap.
Answer:

Rohrmann’s flap

It was described by Von Rohrmann in 1936

The procedure of Rohrmann’s flap:

  • Injection of LA in the mesiobuccal fold
  • The incision is made around the fistulous tract 3-4 mm marginal to the orifice
  • Two divergent incisions are taken with blade no 15 from each side of the orifice into the buccal sulcus
  • The buccal flap is advanced
  • Inspect the maxillary sinus
  • Arrest of haemorrhage
  • Closure of wound
  • Prescribe the medicines

Maxillary Sinus And Its Implications Viva Voce

  1. Arthroscopy is a technique by which the inside of a joint can be seen and operated on from the outside without any open surgery
  2. Berger’s flap for OAF closure utilizes a buccal flap
  3. A palatal flap has a high success rate in the management of OAF because branch of the palatal artery is also mobilized

Leave a Comment