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Sinusitis of the Maxillary Antrum
Abstract
Twenty-four adults with clinical evidence of sinusitis were studied by 65 needle punctures of the maxillary antrum. Fourteen of 15 sinuses with normal transillumination and 19 of 26 that were dull had normal aspirates, whereas 24 of 24 that were opaque had abnormal aspirates (P less than 0.001). Marked mucosal thickening as determined radiologically (Water's view) was associated with abnormal aspirates whereas lesser mucosal thickening was not (P less than 0.001). In acute sinusitis, there was a strong correlation between high aspirate leukocyte counts (greater than 1000 per cubic millimeter) and infection as manifested by bacterial titers of greater than 10(5) per milliliter or the isolation of virus fungus (P greater than 0.001). Anterior-nasal-swab cultures correlated poorly with direct aspirate culters. Organisms frequently recovered from the sinus included Haemophilus influenzae, Strepto coccus pneumoniae, and anaerobic bacteria. Rhinovirus was recovered twice. Antibiotics were usedful in patients with acute sinusitis if the organism was sensitive in vitro (P less than 0.001).
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Citations
Cited by
Rhinosinusitis: Establishing definitions for clinical research and patient care
Meltzer, E. O., Hamilos, D. L., Hadley, J. A., Lanza, D. C., Marple, B. F., Nicklas, R. A., Bachert, C., Baraniuk, J., Baroody, F. M., Benninger, M. S., et al. (2004) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2004.09.029 · Cited by 854
Self-citationLANZA, D., & KENNEDY, D. (1997) · Otolaryngology - Head and Neck Surgery · doi:10.1016/s0194-5998(97)70001-9 · Cited by 756
Computed tomographic study of the common cold
Gwaltney, J. M., Phillips, C. D., Miller, R. D., & Riker, D. K. (1994) · New England Journal of Medicine · doi:10.1056/nejm199401063300105 · Cited by 668
Self-citationOtolaryngology‐Head and Neck Surgery
Meltzer, E. O., Hamilos, D. L., Hadley, J. A., Lanza, D. C., Marple, B. F., Nicklas, R. A., Bachert, C., Baraniuk, J., Baroody, F. M., Benninger, M. S., et al. (2004) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2004.09.067 · Cited by 559
Self-citationAcute Maxillary Sinusitis in Children
Wald, E. R., Milmoe, G. J., Bowen, A., Ledesma-Medina, J., Salamon, N., & Bluestone, C. D. (1981) · New England Journal of Medicine · doi:10.1056/nejm198103263041302 · Cited by 450
Metadata
- Authors
- Evans, F. O., Sydnor, J. B., Moore, W. E. C., Moore, G. R., Manwaring, J. L., Brill, A. H., Jackson, R. T., Hanna, S., Skaar, J. S., Holdeman, L. V., Fitz-Hugh, G. S., Sande, M. A., & Gwaltney, J. M.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1975-10-09
- Volume
- 293
- Issue
- 15
- Pages
- 735-739
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1968740719
- Cited by
- 380
- References
- 0
- FWCI
- 10.37
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Sinusitis of the Maxillary Antrum. https://app.cochat.ai/papers/10.1056/nejm197510092931502
- The paper
- Evans, F. O., Sydnor, J. B., Moore, W. E. C., Moore, G. R., Manwaring, J. L., Brill, A. H., Jackson, R. T., Hanna, S., Skaar, J. S., Holdeman, L. V., Fitz-Hugh, G. S., Sande, M. A., & Gwaltney, J. M. (1975). Sinusitis of the Maxillary Antrum. New England Journal of Medicine. https://doi.org/10.1056/nejm197510092931502
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.