SlideShare a Scribd company logo
1 of 19
Proof puncture
(Antral lavage)
Presentation by Bismi
S Maheen
Anatomy of maxillary sinus
Maxillary sinusitis
Etiology
Symptoms
Indications
Contraindications
Anaesthesia
Position
Technique
Technique..contd
Technique contd…
Diagnosis of antral pathology
Postoperative period
Complications
Complication contd…
Note
Operation is performed less often.most surgeon prefer to get CT to find the middle meatal
pathology causing obstruction to sinus ostium and deal with sinus disease and meatal
pathology together by FESS AT THE SAME TIME
Antral lavage

More Related Content

What's hot (20)

Mastoidectomy
MastoidectomyMastoidectomy
Mastoidectomy
 
Ent osce
Ent osceEnt osce
Ent osce
 
SEPTAL SURGERY & ANTRAL PUNCTURE
SEPTAL SURGERY & ANTRAL PUNCTURESEPTAL SURGERY & ANTRAL PUNCTURE
SEPTAL SURGERY & ANTRAL PUNCTURE
 
diagnostic nasal endoscopy
diagnostic nasal endoscopydiagnostic nasal endoscopy
diagnostic nasal endoscopy
 
Functional endoscopic sinus surgery
Functional endoscopic sinus surgeryFunctional endoscopic sinus surgery
Functional endoscopic sinus surgery
 
Chronic otitis media
Chronic otitis mediaChronic otitis media
Chronic otitis media
 
Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.
 
Secretory otitis media
Secretory otitis mediaSecretory otitis media
Secretory otitis media
 
Cortical mastoidectomy
Cortical mastoidectomy Cortical mastoidectomy
Cortical mastoidectomy
 
Atrophic rhinitis
Atrophic rhinitisAtrophic rhinitis
Atrophic rhinitis
 
surgical management of sinusitis
surgical management of sinusitissurgical management of sinusitis
surgical management of sinusitis
 
Csom
CsomCsom
Csom
 
Myringoplasty ppt
Myringoplasty pptMyringoplasty ppt
Myringoplasty ppt
 
ENT emergencies
ENT emergenciesENT emergencies
ENT emergencies
 
Nasal polyps
Nasal polypsNasal polyps
Nasal polyps
 
Acute suppurative otitis media
Acute suppurative otitis mediaAcute suppurative otitis media
Acute suppurative otitis media
 
Tonsillectomy
 Tonsillectomy Tonsillectomy
Tonsillectomy
 
Smr and septoplasty
Smr and septoplastySmr and septoplasty
Smr and septoplasty
 
Cholesteatoma
CholesteatomaCholesteatoma
Cholesteatoma
 
Osce ent
Osce entOsce ent
Osce ent
 

More from Arunachalam L

Non allergic rhinitis with eosinophilia syndrome
Non allergic rhinitis with eosinophilia syndromeNon allergic rhinitis with eosinophilia syndrome
Non allergic rhinitis with eosinophilia syndromeArunachalam L
 
Mandibular fractures
Mandibular  fracturesMandibular  fractures
Mandibular fracturesArunachalam L
 
Sjogren’s syndrome
Sjogren’s syndrome Sjogren’s syndrome
Sjogren’s syndrome Arunachalam L
 
Premalignant conditions of oral cavity
Premalignant conditions of oral cavityPremalignant conditions of oral cavity
Premalignant conditions of oral cavityArunachalam L
 
obstructive sleep apnoea
obstructive sleep apnoeaobstructive sleep apnoea
obstructive sleep apnoeaArunachalam L
 
Ranula and plunging ranula
Ranula and plunging ranulaRanula and plunging ranula
Ranula and plunging ranulaArunachalam L
 
Processing and preservation of eye
Processing and preservation of eyeProcessing and preservation of eye
Processing and preservation of eyeArunachalam L
 
Rights of registered medical practitioner
Rights of registered medical practitionerRights of registered medical practitioner
Rights of registered medical practitionerArunachalam L
 
Nasal septal fractures
Nasal septal fracturesNasal septal fractures
Nasal septal fracturesArunachalam L
 

More from Arunachalam L (19)

Tespal surgery
Tespal surgeryTespal surgery
Tespal surgery
 
Non allergic rhinitis with eosinophilia syndrome
Non allergic rhinitis with eosinophilia syndromeNon allergic rhinitis with eosinophilia syndrome
Non allergic rhinitis with eosinophilia syndrome
 
Proptosis
Proptosis Proptosis
Proptosis
 
Immunotherapy
ImmunotherapyImmunotherapy
Immunotherapy
 
Mandibular fractures
Mandibular  fracturesMandibular  fractures
Mandibular fractures
 
Tripod fracture
Tripod fractureTripod fracture
Tripod fracture
 
Sjogren’s syndrome
Sjogren’s syndrome Sjogren’s syndrome
Sjogren’s syndrome
 
Premalignant conditions of oral cavity
Premalignant conditions of oral cavityPremalignant conditions of oral cavity
Premalignant conditions of oral cavity
 
Dyshagia lusoria
Dyshagia lusoriaDyshagia lusoria
Dyshagia lusoria
 
obstructive sleep apnoea
obstructive sleep apnoeaobstructive sleep apnoea
obstructive sleep apnoea
 
Ranula and plunging ranula
Ranula and plunging ranulaRanula and plunging ranula
Ranula and plunging ranula
 
septoplasty and smr
septoplasty and smrseptoplasty and smr
septoplasty and smr
 
Eye donation
Eye donationEye donation
Eye donation
 
Nasal cycle
Nasal cycleNasal cycle
Nasal cycle
 
Rhinolith
RhinolithRhinolith
Rhinolith
 
Processing and preservation of eye
Processing and preservation of eyeProcessing and preservation of eye
Processing and preservation of eye
 
Rights of registered medical practitioner
Rights of registered medical practitionerRights of registered medical practitioner
Rights of registered medical practitioner
 
Nasal septal fractures
Nasal septal fracturesNasal septal fractures
Nasal septal fractures
 
Blowout fracture
Blowout fractureBlowout fracture
Blowout fracture
 

Recently uploaded

VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...narwatsonia7
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiCall Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiNehru place Escorts
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near MeHi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Menarwatsonia7
 
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...Nehru place Escorts
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 

Recently uploaded (20)

VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
Call Girls Doddaballapur Road Just Call 7001305949 Top Class Call Girl Servic...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service ChennaiCall Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
Call Girls Chennai Megha 9907093804 Independent Call Girls Service Chennai
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near MeHi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me
Hi,Fi Call Girl In Mysore Road - 7001305949 | 24x7 Service Available Near Me
 
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...
Russian Call Girls Chennai Madhuri 9907093804 Independent Call Girls Service ...
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 

Antral lavage