Research ArticleORIGINAL RESEARCH

The Condemned Sinus: Natural Disease or Surgical Sequela?

Edward D. McCoul
Ochsner Journal June 2018, 18 (2) 141-145; DOI: https://doi.org/10.31486/toj.17.0098

Article Figures & Data

Figures

  • Figure 1.
    Figure 1. Computerized tomography shows the appearance of a chronically draining condemned sinus in 6 patients. In the first set of 3 cases (A-C), the patients' right maxillary sinus is dysfunctional; in the second set of 3 cases (D-F) the patients' left maxillary sinus is dysfunctional.
  • Figure 2.
    Figure 2. Endoscopic appearance of the left ethmoid (A) and left maxillary antrum (B) in a patient with a condemned maxillary sinus. Note the static puddle of purulence in the antrum (visible with the scope retroflexed into the lumen) despite a normal-appearing postoperative ethmoidectomy.
  • Figure 3.
    Figure 3. Computerized tomography shows the appearance of a chronically draining condemned sphenoid sinus in sagittal (A) and coronal (B) views.
  • Figure 4.
    Figure 4. Endoscopic appearance of the left choana (A) and sphenoid ostium (B) in a patient with a condemned sphenoid sinus. A. A trickle of mucus is visible descending from the sphenoethmoidal recess. B. Closer examination with a 30-degree endoscope shows thick mucopurulent drainage emanating from the previously operated sphenoid ostium.

Tables

  • Table. Cultured Isolates Obtained From Endoscopically Directed Swabs of Chronically Draining Sinuses (n = 23)
    IsolateNumber of CasesFrequency, %
    Pseudomonas aeruginosa626.1
    Staphylococcus aureus, methicillin-resistant521.7
    Escherichia coli28.7
    Enterobacter cloacae28.7
    Prevotella sp.28.7
    Staphylococcus aureus, methicillin-sensitive14.3
    Klebsiella pneumoniae14.3
    Serratia marcescens14.3
    Citrobacter sp.14.3
    Propionibacterium sp.14.3
    Fusarium sp.14.3
    No growth626.1

    • Note: Percentages total greater than 100% because of polymicrobial growth in 6 cases.

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