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J R Soc Med. 1986 November; 79(11): 646–649.
PMCID: PMC1290530

Fundamental considerations of the design and function of intranasal antrostomies.


The natural history of intranasal antrostomy is poorly understood despite the popularity of the procedure. Researches have been conducted to examine this and in particular to establish factors which might be responsible for closure. A complete appraisal of the anatomy of the inferior meatus has been undertaken to determine factors which limit the dimensions of an antrostomy. Retrospective and prospective studies have been performed on patients undergoing the operation to assess patency and size. The results of these studies demonstrate that initial size is important in determining long-term patency in adults, and if an antrostomy is open at one year it usually remains open in the long-term unless infection supervenes; in children, however, antrostomies appear to close more rapidly.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lund VJ. Fundamental considerations of the design and function of intranasal antrostomies. Rhinology. 1985 Sep;23(3):231–236. [PubMed]
  • HILDING AC. Physiologic basis of nasal operations. Calif Med. 1950 Feb;72(2):103–107. [PMC free article] [PubMed]
  • CAPPS FCW. Observations on the treatment of infections of the maxillary antrum. J Laryngol Otol. 1952 May;66(5):199–210. [PubMed]
  • Lavelle RJ, Harrison MS. Infection of the maxillary sinus: the case for the middle meatal antrostomy. Laryngoscope. 1971 Jan;81(1):90–106. [PubMed]
  • Mann W, Beck C. Inferior meatal antrostomy in chronic maxillary sinusitis. Arch Otorhinolaryngol. 1978 Nov 30;221(4):289–295. [PubMed]
  • Lund VJ. The design and function of intranasal antrostomies. J Laryngol Otol. 1986 Jan;100(1):35–39. [PubMed]

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