Endoscopic sinus irrigation systems allow for directed, higher-powered irrigation of sinus contents directly where disease is located. Over the...
Maxillary Sinus Debridement
Evolution of Maxillary Sinus Debridement
Maxillary sinus debridement is aimed at mucosal preservation, while also removing obstructions in maxillary ostium outflow. After identification of the uncinate process, the opening to the maxillary can be located just posteriorly. The maxillary sinus is directly adjacent to the nasal cavity, and the near 90-degree angle of entry into the sinus can pose an issue for disease located at the far lateral and anterior aspect.
Specialized right angled and other curved instruments and irrigation systems, as well as more advanced surgical procedures to include Maxwell Luc and Maxillectomy, have been described to address difficult to reach areas of the maxillary sinus.