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Abstract
IS INFERIOR MEATAL ANTROSTOMY STILL NECESSARY? A REVIEW
Presha Patel*
ABSTRACT
Maxillary sinus pathology are very frequent Cald well-luc along with inferior meatal antrostomy (IMA) are the stereotype surgical procedure to treat them. However, IMA has been criticised as the surgery, lead to early loss of the sinusotomy, injury to nasolacrimal duct, epistaxis from sphenopalatine artery moreover, deviation from the normal sinus pathology. The role of IMA is to give dependant drainage to the sinus. Although IMA has declined in popularity it may still be a useful procedure in the management of pathologies. In individual with ciliary dyskinesia, as in cystic fibrosis, dependent drainage through inferior antrostomy may benefit patients with disturbed mucociliary transport from mucosal stripping. If too large antrostomy is fashioned, related anatomy is jeopardize and therefore the dimension must be carefully judged if long term patency is desired.
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