Nasal Antral Window

The nasal antral window, or inferior meatal antrostomy, no longer plays a role in the management of uncomplicated pediatric chronic rhinosinusitis.2,80-82 This technique is unsuccessful in part because the cilia continue to beat toward the obstructed natural ostium, and because it does not address ethmoid disease. The current indication for the inferior antrostomy is in primary ciliary dyskinesia, as normal ciliary patterns do not exist, and the goal is gravitational drainage.

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