Abstract

• Chronic maxillary sinusitis is one of the most common disorder in pediatric otolaryngology and it is remained also the major problem restrict to management. Management of the children with chronic maxillary sinusitis is a through search for underlying etiologic anatomical, systemical and local factor. As one of etiologic factors, hypertrophied tonsils and adenoid cause obstruction of narrow ansopharynx and stagenation and infection of paranasal sinus. But chronic maxillary sinusitis is remained uncontrolled disease in spite of tonsillectomy and adenoidectomy, maxillary antrum prncture and irrigation, and antibiotic therapy.
  This follow up research was performed in 104 cases that received tonsillectomy and adenoedectomy at department of otolaryngology, Ewha University Hospital during last 5 years(from 1986 January to 1990 December), they showed chronic maxillary sinusitis by preoperative PNS X-ray.
  The result was that improvement of chronic maxillary sinusitis was noted in 57% at survey study and in 63% at PNS x-ray study after tonsillectomy and adenoidectomy.
  was effective in treating chronic maxillary sinusitis in children.