International Journal of Community Medicine and Public Health | March 2021 | Vol 8 | Issue 3 Page 1196 International Journal of Community Medicine and Public Health Munjal M et al. Int J Community Med Public Health. 2021 Mar;8(3):1196-1201 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Demographic profile of subjects currently undergoing middle meatus antrostomy for maxillary sinusitis, in a tertiary care centre of Punjab: analysis of 64 subjects Manish Munjal*, Ritu Gupta, Anurag Chaudhary, Mahesh Satija, Shubham Munjal, Akriti Gupta, Mehneet Sawhney INTRODUCTION The paranasal sinuses are air filled cavities on either side of the nasal cavity, in close proximity to the orbit and the dura of the anterior cranial fossa. Conventionally paranasal sinuses, minus any anatomical partitions were considered to be a continuous system of “hollow spaces”, through which mucus produced by the brain eventually drained. The existence of the paranasal sinuses in humans was documented by Berenger del Carpi in the early 16th century. 1 Leonardo da Vinci in 1489 prepared meticulous anatomical illustrations of the paranasal sinuses, that were accessible for scientific evaluation only in the 20th century. 2 A precise diagrammatic anatomy of the maxillary sinus was presented by Nathaniel Highmore in 1651, and hence it is named as the “Highmore’s ABSTRACT Background: The demographic profile of patients with Maxillary sinusitis undergoing surgical intervention in the state of Punjab was analyzed. The emphasis was on the age, gender and clinical presentation in this prospective study. Methods: In this prospective study 64 patients with maxillary sinusitis, were randomly selected from the Rhinology clinics of Oto-rhino-laryngology services, Dayanand Medical College and Hospital, Ludhiana in a period of one and a half years (June 2008 to December 2009). All patients were taken up for Functional endoscopic sinus surgery with middle meatus antrostomy. Results: Only 7 (10.94%) patients, with maxillary sinusitis were in the pediatric age group. 40(62.5%) were males and 24 (37.5%) females. Males outnumbered females in the ratio of 1.67:1. Clinical findings were nasal polyp in 33 (51.56%), middle meatus discharge in 10 (15.63%) and septal deviation was seen in 36 (56.25%) patients. Polypoidal mass was seen in the posterior choana in 24 (37.5%) patients followed by discharge inferior to the Eustachian tube orifice in 7 (10.94%). Recurrence of polypoidal change or frank polyposis occurred in 7 patients (10.94%). Post nasal drip persisted in 15/49 cases, while 54 (84.38%) were completely relieved of their symptoms. Recurrence was noticed more commonly in the region of ethmoid air cells. Conclusions: Patients with maxillary sinusitis were seen in the broad age range from 11 to 66 years with a male predominance. Nasal blockage rather than cheek ache was the primary complaint followed by polyp in the middle meatus and post nasal drip inferior to the Eustachian tube. Keywords: Demography, Endoscopic sinus surgery, Middle meatus antrostomy, Maxillary sinusitis 1 Department of ENT HNS, Dayanand Medical College, Ludhiana, Punjab, India 2 Deptartment of Community Medicine and Public health, Dayanand Medical College, Ludhiana, Punjab, India Received: 24 September 2020 Revised: 13 November 2020 Accepted: 19 January 2021 *Correspondence: Dr. Manish Munjal, E-mail: manishmunjaldr@yahoo.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20210799