extra openings in the maxillary

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Rob van den Berg - 01 Nov 2003 11:11 GMT

Hello

I have a long background of sinus trouble. Several operations, loads of
antibiotics, nasal irrigation aso. but not much relief. Both the maxillaries
are blocked, filled with swollen tissue and a lot of infected mucus causing
the same trouble over and over again. My ENT proposed to make an extra
opening in the maxillary (in the nose, not through the jaw) allowing the
infected mucus to drain more easily. To me it seems a logical step but I
have no idea of the possible side effects. Is there anyone who has
experiences with this sort of surgery?

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Don Brady - 01 Nov 2003 22:11 GMT

>Hello
>
[quoted text clipped - 6 lines]
>have no idea of the possible side effects. Is there anyone who has
>experiences with this sort of surgery?

I would get second opinions on that as most of those "second opening"
techniques have been abandoned as ineffective.

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Jim Jam - 02 Nov 2003 00:12 GMT

My doctor mentioned that to me. He said a hole and I got scared. I hope
someone has more info on this. My right maxillary is bad. He said 1 out
of 100 he reccomends. But I hate to be that one. You would think with
all the people with sinus problems that there would be more ways to fix
them. But I see a lot of miserable people and hear a lot of bad things
and about Doctors you dont know or care, That bothers me. I know there
are many great Doctors out there. Maybe there just booked......Or we
cant find them...LOL

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Steven D. Litvintchouk - 04 Nov 2003 18:57 GMT

>>Hello
>>
[quoted text clipped - 9 lines]
> I would get second opinions on that as most of those "second opening"
> techniques have been abandoned as ineffective.

One major reason they're ineffective, is that the cilia in your
maxillaries work to sweep the secretions *upward* toward the existing
sinus ducts. (Those sinus ducts are located near the tops of the
maxillaries. Without the cilia, your sinuses couldn't drain easily
because the mucus has to flow upward against the pull of gravity.)

So there's no assurance that the cilia would sweep anything toward a new
opening that was put in elsewhere.

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Steven D. Litvintchouk - 04 Nov 2003 18:53 GMT

> Hello
>
> I have a long background of sinus trouble. Several operations, loads of
> antibiotics, nasal irrigation aso. but not much relief.

Two questions please:
What are your usual symptoms?
When did your sinus trouble start for the first time? Any idea what
might have triggered it in the first place?

> Both the maxillaries
> are blocked, filled with swollen tissue and a lot of infected mucus causing
[quoted text clipped - 3 lines]
> have no idea of the possible side effects. Is there anyone who has
> experiences with this sort of surgery?

This type of surgery is no longer done very much, because we now know
that the cilia inside the maxillaries, work by sweeping the mucus UPWARD
toward the natural sinus openings where it drains out. So if new
openings are created, the cilia won't sweep the mucus toward those new
holes, making them worthless.

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