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Treatment of maxillary sinusitis.

C Ekedahl

    Scandinavian Journal of Infectious Diseases. Supplementum
    |January 1, 1983
    PubMed
    Summary

    General practitioners often treat sinusitis based on symptoms alone. Definitive diagnosis and treatment for purulent sinusitis, including maxillary sinus lavage and appropriate antibiotics like Penicillin V, are crucial for effective management.

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    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • General Practice

    Background:

    • Sinusitis is commonly managed by general practitioners who may lack definitive diagnostic tools.
    • Accurate diagnosis of purulent sinusitis is key for appropriate antibiotic selection.

    Purpose of the Study:

    • To outline characteristic symptoms of purulent sinusitis.
    • To discuss the role of antral puncture and lavage in diagnosis and treatment.
    • To recommend antibiotic strategies for maxillary sinusitis.

    Main Methods:

    • Symptomatic assessment for purulent sinusitis.
    • Identification of common bacterial pathogens (Haemophilus influenzae, Streptococcus pneumoniae, anaerobes).
    • Evaluation of treatment modalities including antral lavage and antibiotic therapy.

    Main Results:

    • Antral puncture and lavage are primary methods to restore sinus milieu.
    • Penicillin V remains the first-choice antibiotic due to efficacy.
    • Alternative antibiotics (Cefaclor, tetracyclines, trimethoprim) are suitable for penicillin-allergic patients or resistant strains.

    Conclusions:

    • Effective management of maxillary sinusitis involves restoring normal sinus conditions via lavage.
    • Antibiotic choice should consider bacterial susceptibility and patient allergies.
    • Penicillin V is recommended, with alternatives for specific clinical scenarios.

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