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Bacteria in chronic maxillary sinusitis.

P Karma, L Jokipii, P Sipilä

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |July 1, 1979
    PubMed
    Summary
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    Intraoperative cultures of maxillary sinus mucosa are most reliable for diagnosing chronic bacterial sinusitis. This method accurately identifies bacterial strains, unlike sinus or nasal secretions, aiding targeted treatment.

    Area of Science:

    • Microbiology
    • Otolaryngology
    • Infectious Diseases

    Background:

    • Chronic maxillary sinusitis is a persistent inflammation of the maxillary sinuses.
    • Accurate bacteriological diagnosis is crucial for effective treatment of chronic sinusitis.
    • Previous studies have shown variability in bacterial detection methods.

    Purpose of the Study:

    • To compare the bacteriological findings from maxillary sinus mucosa, sinus secretions, and nasal secretions in patients with chronic maxillary sinusitis.
    • To determine the most reliable method for identifying bacteria in chronic maxillary sinusitis.
    • To investigate the correlation between bacterial findings and clinical parameters.

    Main Methods:

    • Bacterial cultures were performed aerobically and anaerobically on mucosal samples from 61 chronically inflamed maxillary sinuses during Caldwell-Luc operations.

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  • Bacterial strains were also cultured from sinus and nasal secretions.
  • Heavy growth of specific bacterial strains, including Haemophilus influenzae, was noted.

    • Main Results:

    • Maxillary sinus mucosa yielded 131 bacterial strains, significantly more than sinus (62) or nasal secretions (106).
    • Haemophilus influenzae was frequently isolated from mucosal samples with heavy growth.
    • Intraoperative culture of antral mucosa provided the most comprehensive bacteriological profile, with 37 mixed and 15 pure growths observed.

    Conclusions:

    • Intraoperative culture of antral mucosa is the most reliable method for assessing the bacteriological status of chronic maxillary sinusitis.
    • Clinical factors such as disease duration, extent, macroscopic appearance, or allergy did not correlate with bacteriological findings, except for H. influenzae in purulent sinuses.
    • The bacteriological profile of the diseased sinus and the nose did not correlate.