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Bacteriology of endoscopically normal maxillary sinuses

Published online by Cambridge University Press:  29 June 2007

Rong-San Jiang ,
Kai-Li Liang ,
Jinq-Wen Jang  and
Chen-Yi Hsu
Rong-San Jiang*
Affiliation:
Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan 40705, Republic of China.
Kai-Li Liang
Affiliation:
Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan 40705, Republic of China.
Jinq-Wen Jang
Affiliation:
Department of Clinical Microbiology, Taichung Veterans General Hospital, Taichung, Taiwan 40705, Republic of China.
Chen-Yi Hsu
Affiliation:
Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan 40705, Republic of China.
*
Address for correspondence: Rong-San Jiang, M.D., Department of Otolaryngology, Taichung Veterans General Hospital, 160 Taichung Harbor Road, Section 3, Taichung, Taiwan 40705, Republic of China. Fax: +886(4)3596868
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Abstract

The bacteriology of maxillary sinuses with normal endoscopic findings is reported in this study. When transantral sinoscopy was used to examine the maxillary sinuses, the whole maxillary sinus was inspected with different-angle endoscopes. If no lesion was seen over the whole maxillary sinus mucosa, no secretion existed in the maxillary sinus cavity, and the maxillary sinus ostium was wide open, the maxillary sinus was considered endoscopically normal. The bacteriology of these endoscopically normal maxillary sinuses was studied by passing cotton-tipped sticks through the cannula to collect swab specimens. In some cases, a biopsy forceps was also passed to obtain mucosal specimens. The specimens were sent to the laboratory for aerobic and anaerobic cultures. Between July 1990 and May 1998, 83 swab and 31 mucosal specimens were collected from 69 patients who had not taken any antibiotic within 10 days before endoscopy. The culture rates were 62.3 per cent (35/53) from swab specimens and 57.1 per cent (eight out of 14) from mucosal specimens in patients with the diagnosis of chronic paranasal sinusitis, and were 46.7 per cent (14/30) from swab specimens and 41. 2 per cent (seven out of 17) from mucosal specimens in patients without this diagnosis. This study shows that endoscopically normal maxillary sinuses are not sterile.

Keywords

BacteriologyMaxillary sinusEndoscopy

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 9 , September 1999 , pp. 825 - 828
Copyright
Copyright © JLO (1984) Limited 1999

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Footnotes

Presented at the Third Asian Research Symposium in Rhinology, Nagoya, Japan, 29 August 1998.

References

Arruda, L. K., Mimica, I. M., Sole, D., Weckx, L. L. M., Schoettler, J., Heiner, D. C., Naspitz, C. K. (1990) Abnormal maxillary sinus radiographs in children: Do they represent bacterial infection? Pediatrics 85: 553–558.CrossRefGoogle ScholarPubMed
Bjorkwall, T. (1950) Bacteriologic examinations in maxillary sinusitis: I. Bacterial flora of the maxillary antrum; II. Bacterial findings in the normal (healthy) maxillary antrum. Acta Otolaryngologica (Stockh) (Suppl) 83: 33–58.Google Scholar
Brook, I. (1981) Aerobic and anaerobic bacterial flora of normal maxillary sinuses. Laryngoscope 91: 372–376.CrossRefGoogle ScholarPubMed
Brook, I. (1990) Bacterial flora of ‘normal’ sinuses (letter). Pediatrics 86: 649.CrossRefGoogle Scholar
Cook, H. E., Haber, J. (1987) Bacteriology of the maxillary sinus. Journal of Oral and Maxillofacial Surgery 45: 1011–1014.CrossRefGoogle ScholarPubMed
Draf, W. (1983) Endoscopy of the paranasal sinuses. Springer-Verlag, Berlin, 4–27.CrossRefGoogle Scholar
Evans, F. O. Jr., Sydnor, J. B., Moore, W. E. C., Moore, G. R., Manwaring, J. L., Brill, A. H., Jackson, R. T., Hanna, S., Skaar, J. S., Holdeman, L. V., Fitz-Hugh, G. S., Sande, M. A., Gwaltney, J. M. (1975) Sinusitis of the maxillary sinus. New England Journal of Medicine 293: 735–739.CrossRefGoogle Scholar
Jiang, R. S., Hsu, C. Y., Jang, J. W. (1998) Bacteriology of the maxillary and ethmoid sinuses in chronic sinusitis. Journal of Laryngology and Otology 112: 845–848.CrossRefGoogle ScholarPubMed
Posawetz, W., Stammberger, H., Horina, J., Samitz, M., Reisinger, E. (1991) Anaerobic bacteria in normal and in chronic inflamed paranasal sinus mucosa. American Journal of Rhinology 5: 43–46.CrossRefGoogle Scholar
Smith, M. C. F., Cable, H. R. (1988) Correlation of the sinoscopic appearance of the maxillary antrum with histological and bacteriological findings. Journal of Laryngology and Otology 102: 1086–1088.CrossRefGoogle ScholarPubMed
Su, W. Y., Liu, C., Hung, S. Y., Tsai, W. F. (1983) Bacteriological study in chronic maxillary sinusitis. Laryngoscope 93: 931–934.CrossRefGoogle ScholarPubMed