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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.
1 Nasal septal deviations can also cause sinus problems and may contribute to chronic infections. 2  Diagnosing a deviated septum involves a thorough physical examination, nasal endoscopy and a CT scan. 3  Nasal steroids sprays can be used for problems associated with nasal septal deviations and turbinate hypertrophy.