Evaluation of the Microbiology of Chronic Maxillary Sinusitis

Abstract

The effect of Chronic Maxillary Sinusitis and its long term morbidity had been discussed a lot. Chronic sinusitis is defined as if sinus infection persisted more then 12 weeks. Most of the clinician managed the patient with broad- spectrum antibiotics without advising culture & sensitivity of fluid. The outcome of such treatment is beneficial initially but later on due to recurrent infection patients don’t response to such treatment. The factors attributed are alternation in pathology and chronicity of lining mucosa. In this study there were 45 patients, 33 had bilateral disease so 78 wash out were performed. The diagnosis of chronic maxillary sinusitis was made on the basis of clinical assessment and by doing X-Ray Para Nasal sinuses (water’s view). All patients were selected after certain criteria and antral wash out performed. After culture sensitivity of the lavage material antibiotic was given for 2 weeks with consultation of Bacteriologist. The outcome of this regime and further evaluation of the patient is discussed.