Abstract
Background: Chronic maxillary sinusitis (CMS) is a common condition characterized by persistent inflammation of the maxillary sinus, often resulting from anatomical obstruction, infections, or inflammatory processes. Traditional methods of treating CMS often involve medical therapy or external surgical procedures. However, endoscopic sinus surgery (ESS), particularly via the transnasal approach combined with access through the canine fossa, has emerged as a minimally invasive alternative for patients with difficult-to-treat or recurrent cases of maxillary sinusitis. This article examines the endoscopic approach through the nose and canine fossa as a treatment option for CMS.
Methods: A review of clinical studies and case reports was conducted to assess the effectiveness, outcomes, and complications associated with the endoscopic approach to chronic maxillary sinusitis. The review focused on techniques, patient selection criteria, and post-surgical recovery.
Results: Endoscopic sinus surgery, including access through the canine fossa, offers significant advantages in the management of CMS, particularly when conventional methods fail. This approach allows for direct access to the maxillary sinus, preservation of normal anatomy, and a shorter recovery period. Success rates in terms of symptom relief and endoscopic visualization of the sinuses have been high.
Conclusion: The endoscopic approach through the nose and canine fossa is a valuable technique in the management of chronic maxillary sinusitis, providing effective treatment with minimal morbidity. The approach is particularly beneficial for patients with anatomical challenges or recurrent infections that do not respond to conventional therapies.
Keywords: Chronic Maxillary Sinusitis, Endoscopic Sinus Surgery, Canine Fossa, Nasal Endoscopy, Sinusitis Treatment.