When medical therapy is unable to cure a sinus infection, then a functional endoscopic sinus surgical approach using the Messerklinger technique may be required. Despite eight weeks of a suitable broad-spectrum antibiotic, chosen on the basis of culture and sensitivity studies, this patient still has a chronic right maxillary sinus mucopyocele. Note the edematous medially bent uncinate process. This patient was successfully treated by means of an endoscopic procedure to open up the osteomeatal complex. Courtesy of Professor Heinz Stammberger, University of Graz, Austria.
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