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Key words: extraction, maxillary sinus, panoramic radiograph, pneumatization, sinus floor topography. Pneumatization is a physiologic process that. occurs in all paranasal sinuses during the growth. period, causing them to increase in volume.1,2 The. maxillary sinus is the largest of the paranasal sinuses.
Overview of Endoscopic Sinus Surgery. The procedure begins with decongestion of the nose and infiltration of lidocaine with epinephrine (1% lidocaine with 1:100,000 epinephrine is used for injection). The lateral nasal wall near the uncinate process is injected.