Resumo

VENTO CRUZ, Sergio J; RAMOS CRUZ, Milagros; CASTRO PEREZ, Fidel  e  CLEMENTE RODRIGUEZ, María E. A new transnasal surgical procedure in the pediatric chronic maxillary rhinosinusitis. Paediatric hospital. (2005-2007). Rev Ciencias Médicas [online]. 2008, vol.12, n.2, pp. 13-20. ISSN 1561-3194.

A descriptive, explicative, longitudinal and ambispective study aimed at exposing the advantages that the endonasal approach has (transnasal antrotomy) in the surgical approach of the maxillary sinus was performed in 30 patients with a clinical and radiological diagnosis of chronic maxillary rhinosinusitis seen in the Otolaryngology Service in the "Pepe Portilla" Pediatric Hospital in Pinar del Rio between September 2005 and October 2007. The results obtained were compared to those obtained using the transcanine approach (Caldwell-Luc technique), used traditionally for defining which one offer more economic and social advantages for its continuous use. It was proved that both procedures are similarly useful in the surgical procedure of the chronic maxillary rhinosinusitis but being the transnasal antrotomy less complex as well as a shorter surgical time and a hospital stay. With this technique it was obtained a better postoperative evolution, a minimal use of drugs and a total absent of bad postoperative effects that the transcanine antrotomy has.

Palavras-chave : Sinusitis; surgery; Nasal Diseases; surgery; Maxillary sinusitis; surgery; Rhinitis; diagnosis.