Role of Modified Endoscopic Medial Maxillectomy in persistent chronic maxillary sinusitis

Objective: Functional endoscopic sinus surgery (FESS) has a long-term high rate of success for symptomatic improvement in patients with medically refractory chronic rhinosinusitis. As the popularity of the technique continues to grow, however, so does the population of patients with postsurgical persistent sinus disease especially in those with a large window for ventilation and drainage. In addition chronic infections of the sinuses especially fungal sinusitis have a higher incidence of recurrence even though a wide maxillary ostium had been performed earlier. This subset of patients often represents a challenge to the otorhinolaryngologist.