EVALUATION OF THE CONSERVATIVE TREATMENT FOR CHRONIC MAXILLARY SINUSITIS

For the evalutation of conservative treatment for maxillary sinusitis, the author performed the tests for ciliary function of maxillary sinus, the test for patency of maxillary ostium and sensitivity test of the causative organisms. The conclusions were as follows: 1. Sinus x-rays, Moljodol excretion function of maxillary sinus, the test for patency of maxillary ostium and sensitivity test of the casative organisms were done and the indication of conservative treatment was discussed. 2. Moljodol excretion function of maxillary sinus is influenced not only by ciliary function of the sinus mucosa but also greatly by the patency of the maxillary ostium. 3. Clinically, the patency of the maxillary ostium is very important and should be exami- ned prior to the treatment because it gives an idea concerning the condition of the sinus such -as excretion function and pathologic change of the mucosa, indication of the treatments and -prognosis. 4. Sensitivity test should be performed prior to the initial treatment in every case. 5. In the sensitivity study, the higher the resistance of the organisms to the antibiotics, the lower the ciliary function. 6. For the discussion of the indication of surgical treatment, above mentioned various examiantions should be performed and the possibility to restore the sinus function should be considered. The sinus function is greatly influenced by the patency of the ostium. 7. The patency of the maxillary ostium is one of the most important factors in the conse- rvative treatment of maxillary sinusitis.