Endoscopic Modified Medial Maxillectomy for Treatment of Inverted Papilloma Originating From the Maxillary Sinus

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

ORL ◽

10.1159/000317033 ◽

2010 ◽

Vol 72 (5) ◽

pp. 247-251 ◽

Cited By ~ 11

Author(s):

Quan Liu ◽

Hongmeng Yu ◽

Amir Minovi ◽

Wei Wei ◽

Dehui Wang ◽

...

Keyword(s):

Maxillary Sinus ◽

Inverted Papilloma ◽

Medial Maxillectomy

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Surgical Management of Bilateral Venous Malformation (Cavernous Hemangiomas) of the Maxillary Sinus

Case Reports in Otolaryngology ◽

10.1155/2020/8606103 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Takashi Anzai ◽

Shin Ito ◽

Atsushi Yamashita ◽

Takuma Ide ◽

Shori Tajima ◽

...

Keyword(s):

Surgical Treatment ◽

Maxillary Sinus ◽

International Society ◽

Venous Malformation ◽

Vascular Tumor ◽

Sinus Surgery ◽

Mucous Membranes ◽

Cavernous Hemangiomas ◽

Medial Maxillectomy ◽

Modified Medial Maxillectomy

According to International Society for the Study of Vascular Anomalies classification 2018, “hemangioma” should be classified as either vascular tumor or vascular malformation (VM). So-called “cavernous hemangioma” is categorized as VM. VM rarely involves the mucous membranes of the sinonasal cavity and typically arises unilaterally from the sinonasal cavity. Bilateral VM of the maxillary sinus is extremely rare. To the best of our knowledge, there is no previous report of bilateral VM of the maxillary sinus. Here, we describe the surgical treatment of bilateral cavernous hemangiomas of the maxillary sinus. These tumors were successfully resected by endoscopic modified medial maxillectomy (EMMM) after embolization. Endoscopic sinus surgery, particularly EMMM, produces access to the bilateral maxillary sinus and can prevent several complications.

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

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-017-4749-7 ◽

2017 ◽

Vol 274 (12) ◽

pp. 4155-4159 ◽

Cited By ~ 3

Author(s):

Feng Wang ◽

Yang Yang ◽

Shenqing Wang ◽

Haihong Chen ◽

Dehui Wang ◽

...

Keyword(s):

Maxillary Sinus ◽

Inferior Turbinate ◽

Inverted Papilloma ◽

Medial Maxillectomy

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Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma

Rhinology Journal ◽

10.4193/rhin13.230 ◽

2014 ◽

Vol 52 (4) ◽

pp. 381-385 ◽

Cited By ~ 5

Author(s):

R.H. Kamel ◽

A.F. Abdel Fattah ◽

A.G. Awad

Keyword(s):

Maxillary Sinus ◽

Inverted Papilloma ◽

Medial Maxillectomy

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Endoscopic Modified Medial Maxillectomy for Fungal Ball of the Hypoplastic Maxillary Sinus With Bony Hypertrophy

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004379 ◽

2018 ◽

Vol 29 (3) ◽

pp. e304-e307 ◽

Cited By ~ 2

Author(s):

Kazuhiro Nomura ◽

Hiroyuki Ikushima ◽

Daiki Ozawa ◽

Yuichi Shimizu ◽

Kazuya Arakawa ◽

...

Keyword(s):

Maxillary Sinus ◽

Fungal Ball ◽

Medial Maxillectomy ◽

Modified Medial Maxillectomy

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Two Cases of the Inverted Papilloma in the Maxillary Sinus Treated by Modified Transnasal Endoscopic Medial Maxillectomy

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2014.57.12.874 ◽

2014 ◽

Vol 57 (12) ◽

pp. 874

Author(s):

Tae Kyung Cha ◽

Ju Hun Song ◽

Jee Hye Wee ◽

Jae Goo Kang

Keyword(s):

Maxillary Sinus ◽

Inverted Papilloma ◽

Medial Maxillectomy

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Modification of endoscopic medial maxillectomy: a novel approach for inverted papilloma of the maxillary sinus

The Journal of Laryngology & Otology ◽

10.1017/s0022215114003144 ◽

2015 ◽

Vol 129 (2) ◽

pp. 159-163 ◽

Cited By ~ 14

Author(s):

A Ghosh ◽

S Pal ◽

A Srivastava ◽

S Saha

Keyword(s):

Computed Tomography ◽

Nasal Cavity ◽

Maxillary Sinus ◽

Inverted Papilloma ◽

En Bloc ◽

Presenting Symptoms ◽

Novel Approach ◽

Computed Tomography Scanning ◽

Medial Maxillectomy ◽

Enhanced Computed Tomography

AbstractObjective:To describe modification to endoscopic medial maxillectomy for treating extensive Krouse stage II or III inverted papilloma of the nasal and maxillary sinus.Method:Ten patients with inverted papilloma arising from the nasoantral area underwent diagnostic nasal endoscopy, contrast-enhanced computed tomography scanning of the paranasal sinus and pre-operative biopsy of the nasal mass. They were all managed using endoscopic medial maxillectomy and followed up for seven months to three years without recurrence.Results:Most patients were aged 41–60 years at presentation, and most were male. Presenting symptoms were nasal obstruction, mass in the nasal cavity and epistaxis. In each case, computed tomography imaging showed a mass involving the nasal cavity and maxillary sinus, with bony remodelling. The endoscopic medial maxillectomy approach was modified by making an incision in the pyriform aperture and removing part of the anterolateral wall of the maxilla bone en bloc.Conclusion:Modified endoscopic medial maxillectomy providing full access to the maxillary and ethmoid sinuses is described in detail. This effective, reproducible technique is associated with reduced operative time and morbidity.

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Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma

Rhinology Journal ◽

10.4193/rhino13.230 ◽

2014 ◽

Vol 52 (4) ◽

pp. 381-385

Author(s):

Reda H. Kamel ◽

Ahmed F. Abdel Fattah ◽

Ayman G. Awad

Keyword(s):

Maxillary Sinus ◽

Endoscopic Resection ◽

Inverted Papilloma ◽

Primary Surgery ◽

High Incidence ◽

Prior Surgery ◽

Medial Maxillectomy ◽

Midfacial Degloving ◽

The Impact

Background: Maxillary sinus inverted papilloma entails medial maxillectomy and is associated with high incidence of recurrence. Objective: To study the impact of prior surgery on recurrence rate after transnasal endoscopic medial maxillectomy. Methodology: Eighteen patients with primary and 33 with recurrent maxillary sinus inverted papilloma underwent transnasal endoscopic medial maxillectomy. Caldwell-Luc operation was the primary surgery in 12 patients, transnasal endoscopic resection in 20, and midfacial degloving technique in one. The follow-up period ranged between 2 to 19.5 years with an average of 8.8 years. Results: Recurrence was detected in 8/51 maxillary sinus inverted papilloma patients (15.7 %), 1/18 of primary cases (5.5 %), 7/33 of recurrent cases (21.2 %); 3/20 of the transnasal endoscopic resection group (15%) and 4/12 of the Caldwell-Luc group (33.3%). Redo transnasal endoscopic medial maxillectomy was followed by a single recurrence in the Caldwell-Luc group (25%), and no recurrence in the other groups. Conclusion: Recurrence is more common in recurrent maxillary sinus inverted papilloma than primary lesions. Recurrent maxillary sinus inverted papilloma after Caldwell-Luc operation has higher incidence of recurrence than after transnasal endoscopic resection.

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