Cornelia URSU, Laura ROMILA, Gabriela MIHALACHE, Diana GHEBAN, Daniela TOMIŢA
ABSTRACT :
Chronic maxillary sinusitis is a multifactorial condition with a complex etiology. Among the local contributing factors, mechanical obstruction plays a central role by impairing ostial patency and disrupting normal sinus ventilation and drainage. Establishing a positive diagnosis is often more challenging than in acute maxillary sinusitis because of the variability, nonspecific nature, and chronic course of symptoms. In many cases, patients present with referred symptoms originating from adjacent anatomical structures, which may complicate the diagnostic process. Nasal endoscopy is particularly valuable for evaluating these patients, identifying underlying anatomical abnormalities, and planning appropriate surgical interventions when indicated. Treatment requires a comprehensive approach aimed at relieving symptoms, reducing mucosal inflammation, restoring sinus drainage, and eliminating infection through medical and, when necessary, surgical therapies. The choice of treatment depends on the severity and duration of the disease, as well as its underlying etiology. Given the substantial impact of chronic maxillary sinusitis on patients’ quality of life, early diagnosis and appropriate management of upper respiratory tract infections are essential for preventing disease progression and chronicity.
Keywords: chronic maxillary sinusitis, diagnosis, treatment.