Role of Canine Fossa Puncture in Endoscopic Sinus Surgery - Our Experience

Abstract

BACKGROUNDObjectives-Chronic rhinosinusitis is a chronic disease that involves long-term inflammation of nasal and paranasal sinus mucosa (Benninger et al 2003). It is extremely a common condition affecting about 15% population. The maxillary sinus is one of commonest sinus to affect. Aetiology of chronic maxillary sinusitis is either rhinogenous or dental origin as proposed. The evidence of chronic maxillary sinusitis in the population was 0.02% and dental cause was found in 40.6% of cases. Nowadays, we perform endoscopic sinus surgery to eradicate the pathology and widening of ostiomeatal complex, but there are so many hidden area of maxillary sinus which cannot be reached by ESS alone. To overcome these shortcomings, canine fossa puncture with endoscopic sinus surgery is a useful procedure to fully visualise maxillary antrum and to deal with pathology in it. So we have conducted this study in our Institution to see the impact of Canine Fossa Puncture (CFP) with clearance of the maxillary sinus during endoscopic sinus surgery in severely diseased maxillary sinus. Study Design -Retrospective.