Treatment of Acute Maxillary Sinusitis

This paper deals with the problem of finding the optimal treatment for acute maxillary sinusitis. Only sinuses with secretion were included. Comparison between the different modes of treatment was made by the aid of a radiological gradation of the sinus changes. Each treatment group consisted of 50 patients whose sinuses were radiologically investigated on day 1, 5, 10 and 15. Treatment was given for 10 days. Irrigation was performed every second day until the lavage content was clear. Side effects were investigated. All groups were statistically similar initially. There was no statistical difference between the four treatment groups with regard to healing after 5, 10 and 15 days of treatment. Few side effects were noted on doxycycline but some on spiramycin. Both antibiotics thus afford the advantage of omitting irrigation from the treatment.