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The role of the uncinate process in sinusitis aetiology: isolated agenesis versus maxillary sinus hypoplasia

Published online by Cambridge University Press:  10 April 2015

S Uluyol ,
İ B Arslan ,
A Demir ,
G C Mercan ,
O Dogan  and
İ Çukurova
S Uluyol*
Affiliation:
Department of Otolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
İ B Arslan
Affiliation:
Department of Otolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
A Demir
Affiliation:
Department of Otolaryngology, Basaksehir State Hospital, Istanbul, Turkey
G C Mercan
Affiliation:
Department of Otolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
O Dogan
Affiliation:
Department of Radiology, Tepecik Training and Research Hospital, Izmir, Turkey
İ Çukurova
Affiliation:
Department of Otolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
*
Address for correspondence: Dr S Uluyol, Tepecik Egitim ve Arastirma Hastanesi KBB Klinigi, Gaziler cad. No: 468, 35170 Yenisehir Izmir, Turkey Fax: +90 232 4330756 E-mail: sinanuluyol@hotmail.com
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Abstract

Objective:

This study aimed to evaluate the clinical significance of maxillary sinus hypoplasia and isolated agenesis of the uncinate process in sinusitis aetiology.

Methods:

Three patients with isolated agenesis of the uncinate process and 27 patients with 43 maxillary sinus hypoplasia variations were recruited. The frequencies of sinusitis episodes and radiological findings were compared between patient subgroups.

Results:

In all, 23 type I maxillary sinus hypoplasia, 13 type II maxillary sinus hypoplasia and 7 type III maxillary sinus hypoplasia variations were detected. Patients with isolated agenesis of the uncinate process underwent antibiotic treatment an average of 7 times per year, whereas those with types I, II and III maxillary sinus hypoplasia were treated 1.57, 3.22, and 5.75 times per year, respectively, over a 5-year period. The antibiotic treatment frequency for patients with isolated agenesis of the uncinate process was significantly higher than for those with types I and II maxillary sinus hypoplasia.

Conclusion:

Isolated agenesis of the uncinate process seems to play a stronger role than types I and II maxillary sinus hypoplasia in the pathophysiology of chronic sinusitis.

Keywords

Maxillary SinusitisSinusitis, Anatomic Variation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 458 - 461
Copyright
Copyright © JLO (1984) Limited 2015 

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