Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases
Journal
International Forum of Allergy and Rhinology
Journal Volume
8
Journal Issue
4
Pages
530-536
Date Issued
2018
Author(s)
Abstract
Background: The endoscopic endonasal prelacrimal recess approach to the maxillary sinus provides wide access to the walls and recesses of the maxillary sinus, and its use has been reported in many maxillary sinus and skull base diseases. The objective of this study was to determine the indication and feasibility of endoscopic sinus surgery using the prelacrimal recess approach in unilateral maxillary sinus diseases. Methods: We reviewed 192 cases of unilateral maxillary sinus diseases; over 2 years, 15 cases underwent endoscopic surgery via the prelacrimal recess approach. Data regarding preoperative computed tomography scans, operative findings, postoperative pathological diagnoses, postoperative complications, and disease recurrences were obtained from medical records. Results: Patients who underwent surgery via the prelacrimal recess approach did so mostly because tumors were present in the maxillary sinuses (12/15; 80%), while most of the patients in this study underwent surgery because of chronic inflammation (122/177; 68.9%) and fungal infections (40/177; 22.6%). Among 15 patients undergoing surgery via the prelacrimal recess approach, 9 were cases of inverted papilloma. The mean follow-up period was 16.5 months (range, 6 to 28 months). No postoperative complications occurred after the prelacrimal recess approach. One out of the 15 cases undergoing the prelacrimal recess approach had tumor recurrence. Conclusion: Most chronic inflammation and fungal infections of the unilateral maxillary sinuses can be managed through a middle meatal antrostomy. The endoscopic prelacrimal recess approach is a reliable and effective method used to approach maxillary sinus diseases. ? 2018 ARS-AAOA, LLC
Subjects
endoscopic sinus surgery; maxillary sinus; maxillary sinus tumor; prelacrimal recess approach; unilateral maxillary diseases
SDGs
Other Subjects
adolescent; adult; endoscopy; female; human; lacrimal apparatus; male; maxillary sinus; middle aged; pathology; procedures; retrospective study; surgery; treatment outcome; young adult; Adolescent; Adult; Endoscopy; Female; Humans; Lacrimal Apparatus; Male; Maxillary Sinus; Middle Aged; Retrospective Studies; Treatment Outcome; Young Adult
Publisher
John Wiley and Sons Inc.
Type
journal article