Endoscopic sinus surgery in individuals with facial pain due to chronic maxillary sinusitis ? a functional controlled study

Objective: To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls. Method: Sinus manometry was performed 5 times during inhalation. Results: The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05). Conclusion: Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals.

Bibliographic Details

Main Authors:	Sanges,Giuseppe, Gamerra,Mario, Sorrentino,Gerardo, Luca,Roberto De, Merone,Maddalena, Feleppa,Michele, Bigal,Marcelo Eduardo
Format:	Digital revista
Language:	English
Published:	Academia Brasileira de Neurologia - ABNEURO 2014
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800609
Tags:	Add Tag No Tags, Be the first to tag this record!