The displacement technique: a simple method for clearing maxillary sinus stubborn mucus

Eur Arch Otorhinolaryngol. 2021 Aug;278(8):3125-3127. doi: 10.1007/s00405-021-06874-7. Epub 2021 May 20.

Abstract

Background: Clearing thick secretions from the hidden crevices of the maxillary sinus can be challenging and can increase operative time during endoscopic sinus surgery.

Methods: We demonstrate the Displacement Technique as a user-friendly technique to address thick secretions within the maxillary sinus barring no orbital floor dehiscence. First, a wide maxillary antrostomy is performed. Then, a surgical pledget is placed in the maxillary sinus to displace the inspissated content into the nasal cavity using a curved suction. This process is repeated as necessary.

Conclusion: The displacement technique is a simple and inexpensive method for addressing stubborn secretions.

Keywords: Clearance; Fungus ball; Mucus; Surgical technique.

MeSH terms

  • Endoscopy*
  • Humans
  • Maxillary Sinus* / diagnostic imaging
  • Maxillary Sinus* / surgery
  • Mucus
  • Orbit
  • Respiratory System