This document presents information on the anatomy of the maxillary sinus and maxillary sinusitis. It discusses the etiology, symptoms, indications, contraindications, anesthesia, positioning, technique, diagnosis, postoperative period, and complications of a procedure called antral lavage or proof puncture of the maxillary sinus. It notes that most surgeons now prefer to perform CT imaging to identify any middle meatal pathology obstructing the sinus opening and then treat the sinus disease and meatal pathology together using FESS (functional endoscopic sinus surgery) in one procedure rather than performing antral lavage alone.

1. Proof puncture
(Antral lavage)
Presentation by Bismi
S Maheen

2. Anatomy of maxillary sinus

3. Maxillary sinusitis

4. Etiology

5. Symptoms

7. Indications

8. Contraindications

9. Anaesthesia

10. Position

11. Technique

12. Technique..contd

13. Technique contd…

14. Diagnosis of antral pathology

15. Postoperative period

16. Complications

17. Complication contd…

18. 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