Intranasal Antrostomy
Objective
In cases of chronic purulent antral sinusitis
• An
opening into the maxillary sinus though the lateral nasal wall beneath the
inferior turbinate.
Position
Supine.
Anesthesia
General or local.
Procedure
1. Mucosal incision is made
over the inferior turbinate, which is then elevated superiorly with a
periosteal elevator.
2. Nasoantral
wall and the inferior turbinate rongeured.
3. The
inferior meatus of the nasal wall is removed down to the level of the floor of
the nasal cavity.
4. Diseased
mucosa are excised .
5. Intranasal
packing is required for hemostasis.
6. Dressing
is placed under the nose.
Instruments
• Nasal set
• Minor
procedure set
• Metal
tongue depressor
• Poly
forceps
• Nasal
snare with wires
• Basin
set
• Blades
(2) No. 15
• Needle
magnet or counter
• Bulb
syringe
• Bayonet
bipolar electrocoagulating forceps
• Nasal
packing for example 1/2"
• Iodoform
gauze or vaseline gauze (for bleeding).
Any questions be sent to drmmkapur@gmail.com
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