Management of maxillary sinus inverted papilloma via endoscopic partial medial maxillectomy with an inferior turbinate reversing approach

2017 ◽  
Vol 274 (12) ◽  
pp. 4155-4159 ◽  
Author(s):  
Feng Wang ◽  
Yang Yang ◽  
Shenqing Wang ◽  
Haihong Chen ◽  
Dehui Wang ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Inferior Turbinate ◽  
Inverted Papilloma ◽  
Medial Maxillectomy

scholarly journals Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Kota Wada ◽  
Takashi Ishigaki ◽  
Yutaro Ida ◽  
Yuki Yamada ◽  
Sachiko Hosono ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Surgical Approach ◽  
Staging System ◽  
Inferior Turbinate ◽  
Nasolacrimal Duct ◽  
Inverted Papilloma ◽  
Sinonasal Inverted Papilloma ◽  
Medial Maxillectomy ◽  
Magnetic Resonance Imaging Mri ◽  
Modified Medial Maxillectomy

For treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new surgical approach named endoscopic modified medial maxillectomy (EMMM) was proposed. This approach can preserve the inferior turbinate and nasolacrimal duct. We successfully treated sinonasal IP with EMMM in a 71-year-old female patient. In this patient, the sinonasal IP originated from the entire circumference of the maxillary sinus. EMMM is not a difficult procedure and provides good visibility of the operative field. Lacrimation and empty nose syndrome do not occur postoperatively as the nasolacrimal duct and inferior turbinate are preserved. EMMM is considered to be a very favorable approach for treatment of sinonasal IP.

scholarly journals Modified transnasal endoscopic medial maxillectomy with inferior turbinate flap for dentigerous cyst

2015 ◽  
Vol 45 (2) ◽  
pp. 151 ◽  
Author(s):  
Retno Sulistyo Wardani ◽  
Michael Lekatompessy ◽  
Brent Anthony Senior
Keyword(s):  
Maxillary Sinus ◽  
Functional Result ◽  
Traditional Approach ◽  
Dentigerous Cyst ◽  
Inferior Turbinate ◽  
Molar Tooth ◽  
Tumor Extirpation ◽  
Ectopic Tooth ◽  
Medial Maxillectomy

Background: Dentigerous cyst is one of the most frequent types of odontogenic cyst that usually involving an impacted, supernumerary or ectopically erupted tooth. One of the non-dental sites for ectopiceruption is the maxillary sinus. The traditional approach under such circumstances is a Caldwell-Luc maxillotomy, but this type of procedure may result in significant long-term complications. Endoscopic transnasal medial maxillectomy (ETMM) has several advantages, such as good il lumination, as wellas clear and magnified visualization. The new modified endoscopic transnasal medial maxillectomy(METMM) can provide good visualization and more functional result by preserving the nasolacrimalduct and the inferior turbinate. Purpose: We present this case to introduce the METMM technique forextirpation of any tumor in the maxillary sinus. Case: One case of dentigerous cyst with an ectopicleft maxillary 3 molar tooth in a 27 year old woman who presented with sinusitis. Management:Surgery with a METMM technique to enucleate the cyst, combined with functional endoscopic sinussurgery (FESS) for the sinusitis. The patient then evaluated subjectively for epiphora and objectivelywith nasoendoscopic examination. Conclusion: In this case, METMM was effective in accessing themaxillary sinus allowing for tumor extirpation, while preserving the function of the inferior tubinate andnasolacrimal duct. Keywords : Dentigerous cyst, maxillary ectopic tooth eruption, transnasal medial maxillectomy ABSTRAKLatar belakang: Kista dentigerous merupakan salah satu jenis kista otontogenik yang paling sering ditemukan, biasanya berhubungan dengan gigi impaksi, supernumeri atau gigi yang tumbuhektopik. Salah satu tempat erupsi ektopik adalah sinus maksilaris. Pendekatan tradisional dalamkeadaan ini adalah operasi Caldwell-Luc, tetapi teknik operasi ini dapat mengakibatkan komplikasijangka panjang. Maksilektomi medial transnasal dengan endoskopi (MMTE) memiliki beberapakeunggulan, seperti visualisasi yang jelas dan diperbesar. Teknik maksilektomi medial transnasaldengan endoskopi yang dimodifikasi (MMTEM) dapat memberikan visualisasi yang baik dan hasillebih fungsional dengan mempertahankan duktus nasolakrimal dan konka inferior. Tujuan: makalahini diajukan untuk memperkenalkan teknik MMTEM untuk ekstrirpasi massa yang berada di dalamsinus maksila, karena teknik ini memberikan hasil yang lebih fungsional. Kasus: melaporkan satu kasuskista dentigerous dengan gigi molar 3 yang erupsi ektopik pada sinus maksila kiri pada wanita 27tahun. Penatalaksanaan: kasus ini ditatalaksana dengan teknik MMTEM untuk mengenukleasi kistadan BSEF untuk sinusitis. Pasien kemudian dievaluasi secara subjektif dengan anamnesis mengenaiadanya epifora dan objektif dengan pemeriksaan nasoendoskopi. Kesimpulan: MMTEM terbukti efektifuntuk ekstirpasi tumor yang berada di dalam sinus maksila, dan teknik ini juga memberikan hasil yanglebih fungsional dengan dipertahankannya konka inferior dan duktus nasolakrimal. Kata kunci : Kista dentigerous, erupsi gigi ektopik di maksila, transnasal maksilektomi medial

Management of Maxillary Sinus Inverted Papilloma via Transnasal Endoscopic Anterior and Medial Maxillectomy

ORL ◽  
2010 ◽  
Vol 72 (5) ◽  
pp. 247-251 ◽  
Author(s):  
Quan Liu ◽  
Hongmeng Yu ◽  
Amir Minovi ◽  
Wei Wei ◽  
Dehui Wang ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Inverted Papilloma ◽  
Medial Maxillectomy

scholarly journals Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma

2014 ◽  
Vol 52 (4) ◽  
pp. 381-385 ◽  
Author(s):  
R.H. Kamel ◽  
A.F. Abdel Fattah ◽  
A.G. Awad
Keyword(s):  
Maxillary Sinus ◽  
Inverted Papilloma ◽  
Medial Maxillectomy

Resection of Inverted Papilloma of the Maxillary Sinus via a Prelacrimal Recess Approach: A Multicenter Retrospective Analysis of Surgical Efficacy

2018 ◽  
Vol 32 (6) ◽  
pp. 518-525 ◽  
Author(s):  
Bing Zhou ◽  
Qian Huang ◽  
Jingwu Sun ◽  
Xuezhong Li ◽  
Weitian Zhang ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Inferior Turbinate ◽  
Inverted Papilloma ◽  
Pathological Examination ◽  
Magnetic Resonance Imaging Examination ◽  
High Resolution Computed Tomography ◽  
Nasal Sinus ◽  
Lateral Skull Base ◽  
Computed Tomography Scanning

Background The intranasal endoscopic prelacrimal recess approach (PLRA) access to all aspects of the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct and its use have been reported in the treatment of many maxillary sinus and lateral skull base diseases. Objective To retrospectively assess the effectiveness of a 10-year multicenter follow-up for the resection of inverted papilloma of the maxillary sinus (IPMS) via a PLRA. Methods A total of 71 patients were admitted and underwent IPMS excision via an intranasal endoscopic PLRA from 2003 to 2013. All patients underwent high-resolution computed tomography scanning of the nasal sinus, and some also underwent magnetic resonance imaging examination. Results Based on the Krouse staging system, all 71 patients belong to T3 staging. The PLRA was employed to remove IPMS in 71 patients. The postoperative pathological examination of the excised tissue revealed inverted papilloma, and cancerization was identified in 3 patients. The median follow-up time was 37.3 months (range: 13–134 months). Of the 71 patients, reoccurrence was seen in 5 patients (7.04%); 5 patients (7.04%) experienced numbness of the upper lid and the ala of the nose and 4 (5.63%) experienced mild collapse of the ala of the nose. Conclusions These multicenter follow-up results demonstrated that the PLRA is a safe and effective method for the excision of primary or recurrent IPMS with lower postoperative complications and recurrent rate.

scholarly journals Reversible Endoscopic Medial Maxillectomy: Endonasal Approach to Diseases of the Maxillary Sinus

2020 ◽  
Vol 24 (02) ◽  
pp. e247-e252 ◽  
Author(s):  
Miguel Soares Tepedino ◽  
Ana Clara Miotello Ferrão ◽  
Hana Caroline Morais Higa ◽  
Leonardo Lopes Balsalobre Filho ◽  
Enrique Iturriaga ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Case Series ◽  
Inferior Turbinate ◽  
Lateral Wall ◽  
Nasolacrimal Duct ◽  
Sinus Disease ◽  
Patient Series ◽  
Medial Maxillectomy ◽  
Maxillary Diseases

Abstract Introduction The endoscopic access has reduced the morbidity associated with external approaches in diseases of the maxillary sinus. A reversible endoscopic medial maxillectomy (REMM) is presented as an alternative for treatment of benign maxillary diseases. Objective To describe the REMM technique and report four cases of patients with benign maxillary sinus conditions treated through this approach. Methods The present study was divided into two parts: anatomical and case series. Two cadaveric dissections confirmed the feasibility of the REMM approach. The same technique was performed on four consecutive patients with benign maxillary sinus disease. Results The cadaveric dissections confirmed wide exposure to the maxillary cavity, preserving the anatomy of the maxillary sinus. In the patient series, one patient presented with an antrochoanal polyp, one had a silent sinus syndrome, one had a chronic maxillary sinusitis secondary to a gunshot, and the last one had an inverted papilloma in the maxillary sinus. In all of the cases, the REMM approach provided excellent access and adequate resection, as well as preservation of the inferior turbinate, nasolacrimal duct, and lateral wall of the nose (including its osteomucosal component). Finally, all of the patients had an uneventful postoperative course. Conclusion The REMM technique is an excellent surgical approach to benign conditions of the maxillary sinus. It has few limitations and appears to be associated with less morbidity than conventional techniques.

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