extra openings in the maxillary
Question:
- Hide quoted text — Show quoted text -Don Brady wrote: > On Sat, 1 Nov 2003 11:11:37 +0100, "Rob van den Berg" <adsl426…@tiscali.nl> > wrote: >>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? > 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. — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
Response:
Rob van den Berg wrote: > 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 > 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?
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. — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
Response:
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
Response:
On Sat, 1 Nov 2003 11:11:37 +0100, "Rob van den Berg" <adsl426…@tiscali.nl> wrote: >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?
I would get second opinions on that as most of those "second opening" techniques have been abandoned as ineffective.
Response:
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?
Response:
Filed under: Nasal irrigation
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