Skip to main content

Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct

Buy Article:

$44.50 plus tax (Refund Policy)

Abstract:

Background:

Endoscopic medial maxillectomy (EMM) is a safe and effective procedure for treatment of inverted papilloma (IP) originating from the maxillary sinus. However, EMM usually removes the inferior turbinate and nasolacrimal duct. The inferior turbinate has a critical function in conditioning of the nasal airflow, and resection of the nasolacrimal ducts has a risk of epiphora. We developed a newly derived surgical technique, endoscopic modified medial maxillectomy (EMMM), which enables preservation of the inferior turbinate and nasolacrimal duct.

Methods:

A retrospective case series of six patients with IP and nine patients with mucoceles of the maxillary sinus after a Caldwell-Luc operation, who underwent surgery using the EMMM technique, were reviewed.

Results:

In patients with IP, there were no recurrences for a mean follow-up of 16.7 months. Eight of nine patients with mucoceles of the maxillary sinus showed patency. All patients showed preservation of the inferior turbinate. One patient with mucocele was referred for dacryocystorhinostomy because of epiphora.

Conclusion:

EMMM produces access to the maxillary sinus identically to conventional EMM, despite preservation of the inferior turbinate and nasolacrimal duct.

Keywords: Endoscopic medial maxillectomy; endoscopic modified medial maxillectomy; epiphora; inferior turbinate; inverted papilloma; maxillary sinus; mucocele; nasolacrimal duct

Document Type: Research Article

DOI: https://doi.org/10.2500/ajra.2012.26.3791

Affiliations: Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan

Publication date: 2012-09-01

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more