eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Nasal & Sinus Diseases

Sinusitis, Maxillary, Chronic, Surgical Treatment: Workup

Author: Ankit Patel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, St Joseph Medical Center, Silver Cross Hospital
Coauthor(s): Winston C Vaughan, MD, Founder and Director, California Sinus Institute and Foundation; Director, CSI Advanced Sinus Surgery and Rhinology
Contributor Information and Disclosures

Updated: Mar 6, 2008

Workup

Laboratory Studies

  • Suggested - CBC
  • Consider - Prothrombin time (PT), activated partial thromboplastin time (aPTT), radioallergosorbent test (RAST), pregnancy test, and electrolytes, depending on the patient's medical history

Imaging Studies

  • A CT scan of the paranasal sinuses should be obtained. A thorough review of preoperative CT scanning is required to check for the following:
    • Position of the lamina papyracea in relation to the uncinate process
    • Position of the skull base and the nasolacrimal duct
    • Presence of a hypoplastic maxillary sinus with or without an atelectatic uncinate process
    • Dehiscence of the lamina papyracea or the skull base

Diagnostic Procedures

  • Suggested - Nasal endoscopy, vision test
  • Consider - Acoustic rhinometry, smell test

More on Sinusitis, Maxillary, Chronic, Surgical Treatment

Overview: Sinusitis, Maxillary, Chronic, Surgical Treatment
Workup: Sinusitis, Maxillary, Chronic, Surgical Treatment
Treatment: Sinusitis, Maxillary, Chronic, Surgical Treatment
Follow-up: Sinusitis, Maxillary, Chronic, Surgical Treatment
Multimedia: Sinusitis, Maxillary, Chronic, Surgical Treatment
References
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References

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Further Reading

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Keywords

maxillary sinus, chronic rhinosinusitis, chronic sinusitis, chronic maxillary sinusitis, functional endoscopic sinus surgery, FESS, intranasal middle meatus antrostomy, Caldwell-Luc operation, sinusitis

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Contributor Information and Disclosures

Author

Ankit Patel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, St Joseph Medical Center, Silver Cross Hospital
Ankit Patel, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society
Disclosure: a Salary Employment

Coauthor(s)

Winston C Vaughan, MD, Founder and Director, California Sinus Institute and Foundation; Director, CSI Advanced Sinus Surgery and Rhinology
Disclosure: Nothing to disclose.

Medical Editor

Hassan H Ramadan, MD, MSc, Professor and Vice-Chair, Department of Otolaryngology-Head and Neck Surgery, Professor, Department of Pediatrics, West Virginia University
Hassan H Ramadan, MD, MSc is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Rhinologic Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Stephen G Batuello, MD, Consulting Staff, Colorado ENT Specialists
Stephen G Batuello, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American Medical Association, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
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