Quality of life after endonasal medial maxillectomy in patients with inverted papilloma of the maxillary sinus – resection of the inferior turbinate compared to readaption

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.

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Endoscopic medial maxillectomy with preservation of inferior turbinate in maxillary sinus inverted papilloma

Archives of Otolaryngology & Rhinology ◽

10.17352/2455-1759.000068 ◽

2015 ◽

pp. 019-022

Author(s):

Khaled A

Keyword(s):

Maxillary Sinus ◽

Inferior Turbinate ◽

Inverted Papilloma ◽

Medial Maxillectomy

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A Prospective Study of Outcomes of Septoplasty with Turbinate Reductions in Patients with Allergic Rhinitis

Otolaryngology ◽

10.1177/0194599819838761 ◽

2019 ◽

Vol 160 (6) ◽

pp. 1118-1123 ◽

Cited By ~ 4

Author(s):

Grant S. Gillman ◽

Giuseppe V. Staltari ◽

Yue-Fang Chang ◽

Jose L. Mattos

Keyword(s):

Quality Of Life ◽

Allergic Rhinitis ◽

Nasal Obstruction ◽

Symptomatic Relief ◽

Inferior Turbinate ◽

University Hospital ◽

Life Questionnaire ◽

Related Quality ◽

A Prospective Study

Objective Examine outcomes of septoplasty with turbinate reductions in patients with allergic rhinitis as compared to patients without allergic rhinitis using validated outcome and quality-of-life (QOL) instruments. Study Design Prospective observational cohort study. Setting Single surgeon, university hospital. Subjects and Methods Consecutive study-eligible patients with a symptomatic nasal septal deviation, with (n = 30) or without (n = 30) documented allergic rhinitis, were enrolled from March 2014 to February 2017. All patients subsequently underwent nasal septoplasty and inferior turbinate reductions. Outcomes were studied using the Nasal Obstruction Symptom Evaluation (NOSE) scale, mini–Rhinoconjunctivitis Quality of Life Questionnaire (mini-RQLQ), and Ease-of-Breathing (EOB) Likert scores completed preoperatively and, together with a patient satisfaction Likert, at 3 and 6 months postoperatively. Results NOSE scores, EOB scores, and mini-RQLQ scores improved significantly in both groups at 3 and 6 months postoperatively. Results were sustained from 3 to 6 months. Although mini-RQLQ scores in allergic patients were higher at all intervals, the magnitude of change in scores in both groups was comparable. Conclusion Although patients with allergic rhinitis report greater allergy-related QOL impairment (mini-RQLQ) on a day-to-day basis than nonallergic patients, this does not appear to attenuate the benefit they might experience from septoplasty and turbinate reductions when indicated for nasal obstruction. Furthermore, the symptomatic relief of their structural nasal obstruction appears to significantly improve their overall allergy-related quality of life. If appropriate expectations are set pre-operatively, allergic rhinitis is neither a contraindication nor a deterrent to septoplasty and turbinate reductions and these patients can reasonably expect a high degree of satisfaction post-operatively.

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Impact of maxillary sinus augmentation on oral health-related quality of life

International Journal of Implant Dentistry ◽

10.1186/s40729-017-0072-8 ◽

2017 ◽

Vol 3 (1) ◽

Cited By ~ 5

Author(s):

E. Schiegnitz ◽

P. W. Kämmerer ◽

K. Sagheb ◽

A. J. Wendt ◽

A. Pabst ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Maxillary Sinus ◽

Health Related Quality ◽

Sinus Augmentation ◽

Maxillary Sinus Augmentation ◽

Related Quality ◽

Health Related

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State of Mastication Affects Quality of Life in Patients With Maxillary Sinus Cancer

The Laryngoscope ◽

10.1097/00005537-200304000-00026 ◽

2003 ◽

Vol 113 (4) ◽

pp. 729-736 ◽

Cited By ~ 6

Author(s):

Nobuhisa Terada ◽

Tsutomu Numata ◽

Noriko Kobayashi ◽

Shigeki Gorai ◽

Tadashi Kobayashi ◽

...

Keyword(s):

Quality Of Life ◽

Maxillary Sinus ◽

Maxillary Sinus Cancer ◽

Sinus Cancer

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

Oto Rhino Laryngologica Indonesiana ◽

10.32637/orli.v45i2.119 ◽

2015 ◽

Vol 45 (2) ◽

pp. 151 ◽

Cited By ~ 1

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

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