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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.
Sinus Perforation Precautions. Maxillary sinus perforation occurs occasionally at the extraction of maxillary teeth or during surgical procedures involving the sinus area. If there is a possibility of a perforation during your procedure please follow these instructions. *** Please observe these instructions for two weeks***. 1  Take Sudafed to keep sinus dry and Afrin as a decongestant as well as any other prescribed medications.  Do not blow your nose.