[Optimization of the puncture treatment method for acute bacterial maxillary sinusitis]

Area of Science:

• Otolaryngology
• Medical Devices
• Surgical Innovation

Background:

• Acute bacterial maxillary sinusitis (ABMS) often requires sinus puncture for treatment.
• Current methods, like the Kulikovsky needle (KN), can be associated with patient discomfort.
• There is a need for optimized drainage devices for improved ABMS management.

Purpose of the Study:

• To develop and evaluate novel devices for maxillary sinus (MS) drainage.
• To optimize the puncture treatment method for ABMS.
• To compare the efficacy and patient-reported outcomes of new devices against the KN.

Main Methods:

• A comparative analysis of 120 ABMS patients was conducted.
• Patients were treated using either the Kulikovsky needle (KN) or newly developed one- and two-channel MS drainage devices.
• Pain was assessed using the Visual Analogue Scale (VAS) and Touch Visual Pain (TVP) scale.

Main Results:

• The original devices resulted in significantly lower VAS and TVP scores compared to the KN.
• In cases with blocked natural ostia, the two-channel original device showed superior pain reduction (VAS: 1.3 vs. 3.0) versus KN.
• The developed devices demonstrated high efficiency and safety in clinical use.

Conclusions:

• The novel one- and two-channel MS drainage devices offer a significant improvement over the KN for ABMS puncture treatment.
• These devices enhance patient comfort by reducing pain during the procedure.
• The study establishes the high efficacy and safety of these original devices for MS drainage.