Prelacrimal approach vs conventional surgery for inverted papilloma in the maxillary sinus.
Caldwell-Luc approach
endoscopic sinus surgery
maxillectomy
paranasal sinus
recurrence
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
06
07
2019
revised:
08
02
2020
accepted:
23
06
2020
pubmed:
9
7
2020
medline:
22
6
2021
entrez:
9
7
2020
Statut:
ppublish
Résumé
The prelacrimal approach, termed endoscopic modified medial maxillectomy (EMMM), has recently been applied for treatment of inverted papilloma (IP) in the maxillary sinus. EMMM provides wider access to the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct. We reviewed patients with IP in the maxillary sinus to compare the surgical results obtained by conventional surgery (ie, endoscopic maxillary sinus antrostomy or in combination with the Caldwell-Luc approach) with those obtained by EMMM. All patients had a T3 on the Krouse staging system, and the average follow-up time was 46.0 months. Of the 18 patients in the conventional group, recurrence was seen in 3 patients (16.6%). No recurrence was seen in the 27 patients who showed preservation of the inferior turbinate and nasolacrimal duct, and no complications occurred in the EMMM group. EMMM is an effective surgical approach that reduces recurrence with fewer complications.
Sections du résumé
BACKGROUND
The prelacrimal approach, termed endoscopic modified medial maxillectomy (EMMM), has recently been applied for treatment of inverted papilloma (IP) in the maxillary sinus. EMMM provides wider access to the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct.
METHODS
We reviewed patients with IP in the maxillary sinus to compare the surgical results obtained by conventional surgery (ie, endoscopic maxillary sinus antrostomy or in combination with the Caldwell-Luc approach) with those obtained by EMMM.
RESULTS
All patients had a T3 on the Krouse staging system, and the average follow-up time was 46.0 months. Of the 18 patients in the conventional group, recurrence was seen in 3 patients (16.6%). No recurrence was seen in the 27 patients who showed preservation of the inferior turbinate and nasolacrimal duct, and no complications occurred in the EMMM group.
CONCLUSIONS
EMMM is an effective surgical approach that reduces recurrence with fewer complications.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3218-3225Informations de copyright
© 2020 Wiley Periodicals LLC.
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