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National Journal of Maxillofacial Surgery
 
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LETTER TO EDITOR
Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 103-104  

A simple intraoral technique for sinus lavage


Department of Oral and Maxillofacial Surgery, Genesis Institute of Dental Sciences and Research, Moga Road, Ferozepur, India

Date of Web Publication10-Oct-2011

Correspondence Address:
Sachin Rai
Department of Oral and Maxillofacial Surgery, Genesis Institute of Dental Sciences and Research, Moga Road, Ferozepur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-5950.85867

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How to cite this article:
Rai S. A simple intraoral technique for sinus lavage. Natl J Maxillofac Surg 2011;2:103-4

How to cite this URL:
Rai S. A simple intraoral technique for sinus lavage. Natl J Maxillofac Surg [serial online] 2011 [cited 2019 Jul 24];2:103-4. Available from: http://www.njms.in/text.asp?2011/2/1/103/85867

Sir ,

This paper presents a simple and new technique to modify a sterile disposable syringe cap into a plastic tube which can be used as drain both intraorally and extraorally. The firm plastic body of the drain has an advantage over other rubber drains that it does not collapse or clog if retained for a longer time. The author has used this type of drain especially for sinus lavage in various benign pathological conditions.

This paper presents a new simple technique for a passive open drain intraorally for sinus lavage. The maxillary sinus may get involved with a benign cyst/tumor or chronic infection and needs thorough curettage and lavage by Caldwell-Luc approach. In the postoperative period, there is a requirement of daily irrigation with various therapeutic solutions. For e.g., in cases of fungal sinusitis, as in the case depicted, daily irrigation was required with 1% acetic acid for a week.

A sterile plastic cap of a disposable 10-ml syringe is cut at approximately half the length to convert it into a tube [Figure 1]. The approximate length is kept less than 2 cm. Next, two holes are drilled opposite to each other at the rim for suture to pass through [Figure 2] and three to four more holes are drilled across the plastic body to provide multiple passages for drainage [Figure 3]. The rim end is kept toward the oral opening and the cut end is kept inside the sinus. With the help of two holes near the rim, the tube is stabilized with the surrounding mucosa [Figure 4]. The rest of the incision margin is closed primarily. The tube can be removed after a stipulated time with primary closer of the small opening.
Figure 1: Syringe cap cut halfway

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Figure 2: Holes drilled at the rim with straight fissure bur

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Figure 3: Modified cap with multiple holes across the length

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Figure 4: Intraoral picture of drain fixed with surrounding mucosa and lying in the sinus

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The advantage of this hard plastic drain is that it does not collapse or clog in the postoperative period and remains patent through out the irrigation period. The modification of the sterile syringe cap takes not more than a few minutes and can be done by the paramedical staff prior to surgery. Similar situation where this passive drain can be utilized is after draining space infections or as a surgical drain after extraoral incisions. The author finds this method simple, appealing and economically viable and has been using this modified cap drain for over a year now and finds it without any significant disadvantage.


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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