The physiological and pathophysiological aspects of the maxillary sinus

Manish Munjal, Ritu Gupta, Joginder Sidhu, Shubham Munjal, Sahil Ahluwalia, Mehak Bath, Archit Pal Singh


Among the paranasal sinuses the maxillary sinus with a bottle neck ventilatory and drainage pathway is the commonest sinus to be involved in inflammatory pathologies .With limited intervention at the osteo-meatal unit the disturbed intricate mucociliary physiology of the sinus tends to revert. The surgery being aptly captioned, the “functional endoscopic sinus surgery”. The unique physio-pathology of the maxillary sinus shall be elaborated.


Maxillary sinus, Physiology, Pathology

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Stammberger H, Lund VJ. Anatomy of the nose and paranasal sinuses. In Michael Gleeson, editor. Scott Brown’s Otorhinolaryngology, head and neck surgery. 7th ed. London: Elsevier. 2008;1341.

Stammberger H, Hawke M. Basic Principles of Functional Endoscopic Sinus Surgery. In. Essentials of Endoscopic Sinus Surgery. Mosby. 1993;2.

Pinhero AD, Facer GW, Kern EB. Sinusitis. Current concepts and management. In Bailey BJ (Ed): Head and Neck Surgery-Otolaryngology, Ed Philadelphia, Lippincott-Raven. 1998;441.

Stammberger H. Functional Endoscopic Sinus Surgery. Philadelphia, DC Becker. 1991;432-3.

Levine HL, May M. Endoscopic Sinus Surgery. New York. Thieme Medical Publishers. 1993;4-13.

Mackay IS, Lund VJ. Surgical management of sinusitis. Scott Brown’s Otolaryngology, 6th ed. Butterworth Hienemann, Oxford. 1997.

Phelps PD. Radiology of the Nose and Paranasal Sinuses. In: Mackay and Bull, editors. Scott Brown’s Otorhinolaryngology, Head and Neck Surgery. 6th ed. London: Elsevier. 1997;4.

Gray H. Carter HV. Nose, nasal cavity and paranasal sinuses. In: Gray’s Anatomy The anatomical basis of clinical practice. 37th ed. London. 1993.

Lazar RH, Younis RT, Long TE. Functional endoscopic sinus surgery in adults and children. Laryngoscope. 1993;103:1-5.

Goldstein JH, Philips CD. Current indications and techniques in evaluating inflammatory disease and neoplasia of the Sino nasal cavities. Curr Probl Diagn Radio. 1998;27:41-71.

Yousem DM. Imaging of sin nasal inflammatory disease. Radiolology. 1993;188(2):303-4.

Messerklinger W. Endoscopy of the nose. Baltimore, Maryland, Urban and Schwarzenberg.1978;49.

Weed DT, Cole RR. Maxillary sinus hypoplasia and vertical dystopia of the orbit. Laryngoscope. 1994;104:758-62.

Weir N, Golding-Wood DG. Infective rhinitis and sinusitis. In: Mackay and Bull, editors. Scott Brown’s Otorhinolaryngology, Head and Neck Surgery. 6th ed. London. Elsevier. 1997;4(8):18-9.

Scott GM. How do viruses overcome mucosal defences? In: Bacterial and Viral Inhibition and Modulation of Host Defences, edited by Falcone G, Campa M, Smith H, Scott GM. London Academic Press. 1984;25-39.

Patel A. American Academy of Otolaryngology, Bulletin. 1999;18(2).