resection of the medial and superomedial walls of the maxillary antrum. It is increasingly being done by transnasal endoscopic technique for suitable cases. the authors describe the endoscopic medial maxillectomy for neoplastic diseases involving the as operative technique for endoscopic medial maxillectomy. Conclusion Modified endoscopic medial maxillectomy appears to be an effective surgery for treatment of chronic, recalcitrant maxillary sinusitis.

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Following surgery, a Merocel Medtronic, USA pack was kept in the maxillary sinus and ethmoid cavity, which was removed after 5 days.

Modified endoscopic medial maxillectomy, nasolacrimal duct preserved, maxillary sinus mucosa left intact. Published online Feb In patients with a normally functioning sinus, this movement can be observed within minutes of instilling the dye. No movement of dye indicates irreversible loss msxillectomy ciliary function and hence a simple widening of the already widened ostium i.

Using backbiting forceps, the antrostomy is widened anteriorly. All of the IPs were adhering to the posterior maxilleectomy.

Simmen D, Jones N S. Careful follow-up is essential to prevent recurrence or malignancy following surgery.

One patient had postoperative bleeding from the sphenopalatine artery, which was controlled in the operation theater by cauterization. Four patients had AFRS, one of whom had been previously operated on.

Role of Modified Endoscopic Medial Maxillectomy in Persistent Chronic Maxillary Sinusitis

Administrative, technical, and material support: Using Pinnacle software, 3-dimensional reconstructions were made of the axial CT scans. Sign in to save your search Sign in to your personal account. Since IP was found at biopsy, she was referred to our hospital in order to undergo surgery.


Table 1 Types of modified endoscopic medial maxillectomy and indications. EMM is an endonasal surgical procedure but does not appear to be a desirable approach because it necessitates the resection of the inferior turbinate and the cutting of the nasolacrimal duct, which impairs the function of the nose and may induce postoperative lacrimation endosdopic 11 ].

Table of Contents Alerts. National Center for Biotechnology InformationU. This approach can preserve the inferior turbinate and nasolacrimal duct. The anatomical basis for this resection is demonstrated in our results.

A line perpendicular to this mark amxillectomy manually drawn; then all the area of the maxillary sinus anterior to this line was outlined on contiguous axial CT cuts, and V3 was calculated.

Delayed dye movement indicates that there is a certain degree of mucociliary clearance that, despite being present, is inadequate to prevent recurrent infection of the sinus. As the popularity of the technique continues to grow, however, so endoscoplc the population of patients with postsurgical persistent sinus disease, especially in those with a large window for ventilation and drainage.

In patients with IP, there were no recurrences for a mean follow-up of Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. To receive news and publication updates for Case Reports in Otolaryngology, enter your maxi,lectomy address in the box below.

Resection anterior to this structure will foster visualization. Recalcitrant, chronic maxillary sinusitis is an underreported entity.

Case Reports in Otolaryngology

Our experience indicates that EMMM is an effective and relatively easy approach for treating IP that originated in the anterior, inferior, and medial walls of the maxillary sinus. The surgery was performed under general anesthesia. Indexed in Web of Science. Get free access to newly published articles.


Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct.

Maxillary sinus was widely opened from the inferior meatus side so that endoscope could be inserted from inferior meatus towards maxillary sinus. As the nasolacrimal duct could be clearly observed by endoscope, the tumor deviating to the inferior meatus and the lateral mucosa and the bony wall of the inferior meatus could be sufficiently resected.

Revision functional endoscopic sinus surgery aims to overcome these shortcomings but can fall short due to irreversible damage to the mucous membrane by prior surgery. One patient with mucocele was referred for dacryocystorhinostomy because of epiphora. All procedures were done under general anesthesia.

Our website uses cookies to enhance your experience. When no movement of the dye at all could be seen, the result was noted.

Role of Modified Endoscopic Medial Maxillectomy in Persistent Chronic Maxillary Sinusitis

We did remove the mucosa only without thinning of the bony wall of the maxillary sinus. Arch Otolaryngol Head Neck Surg. The mean SD V4 was Eight of nine patients with mucoceles of the maxillary sinus showed patency. Slightly posterior maxiklectomy the pyriform aperture, the mucosa was incised from the superior portion of the inferior turbinate towards the nasal floor, and the nasal mucosa was elevated from the lateral wall of the nasal endosclpic.

Therefore, volumetric analysis of 38 maxillary sinuses was performed.