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Pseudomonas aeruginosa in chronic maxillary sinusitis.
The Laryngoscope
|January 1, 1985
Summary
Pseudomonas aeruginosa (Ps. Au.) maxillary sinusitis, often incidental, can cause chronic sinusitis. Combined surgical and medical therapy, including gentamicin drops, effectively cleared infection in four reported cases.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Microbiology
Background:
- Pseudomonas aeruginosa (Ps. Au.) is an opportunistic pathogen.
- Ps. Au. maxillary sinusitis can be an incidental finding or a significant etiological factor in chronic sinusitis.
Observation:
- Four cases of culture-verified Ps. Au. maxillary sinusitis were analyzed.
- Therapeutic approaches included Caldwell-Luc operation and intranasal antrostomy.
- Postoperative management involved multiple irrigations and intranasal gentamicin ophthalmic drops.
Findings:
- Combined surgical and medical management led to successful clearance of infection in all four cases.
- Intranasal gentamicin instillation demonstrated efficacy in treating Ps. Au. maxillary sinusitis.
Implications:
- This study highlights effective treatment strategies for Ps. Au. maxillary sinusitis.
- The findings support a combined surgical and medical approach for refractory cases.
- Further research into targeted antibiotic delivery for sinusitis may be warranted.