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Cited by 380

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Sinusitis of the Maxillary Antrum

Evans, Frank O., Sydnor, J. Brantley, Moore, W. E. C., Moore, George R., Manwaring, J. Laurence, Brill, Alan H., Jackson, Robert T., Hanna, Stevan, Skaar, Joy S., Holdeman, Lillian V., Fitz-Hugh, G. Slaughter, Sande, Merle A., Gwaltney, Jack M.·1975·New England Journal of Medicine

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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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
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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