gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

The role of intranasal prelacrimal recess approach in complete removal of anterior maxillary sinus lesions

Poster Rhinologie

  • Abdullah Al Murtada - Thamar University, Yemen, Cairo, Egypt
  • Mohammed Ayadi - Cairo University, Cairo, Egypt
  • Sherif Ra'afat - Cairo University, Cairo, Egypt
  • Khalid Atya - Cairo University, Cairo, Egypt
  • Fadi Gharib - Cairo University, Cairo, Egypt

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2016;12:Doc198

doi: 10.3205/cpo001549, urn:nbn:de:0183-cpo0015490

Veröffentlicht: 11. April 2016

© 2016 Al Murtada et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Abstract

Introduction: However, the success rate drops to 50–70% in revision surgeries. The approach to the severely diseased sinus, especially the maxillary sinus (MS), is still controversial. Because of the anatomy of the MS and the characteristics of diseases originating in it, as assessed with multiangled telescopes, there are still some areas that cannot be viewed and handled.

Patients and methods: This was a prospective study in which 20 patients were recruited between July 2013 and September 2014 from the Otorhinolaryngology outpatient clinic, Cairo University. Patients with anterior maxillary sinus (MS) lesions underwent endoscopic sinus surgery and had their lesions removed through the maxillary ostium. The PLRA was then performed to assess the presence of any anterior maxillary remnants, which were then removed.

Results: The intranasal pathologies included sinonasal polyposis (four patients), recurrent sinonasal polyposis (four patients), antrochoanal polyps (four patients), allergic fungal sinusitis (five patients), inverted papilloma (one patient), lymphoma (one patient), and cancer maxilla (one patient). After the PLRA 45% of the patients showed remnants. These included antrochoanal polyp (two patients), recurrent sinonasal polyposis (one patient), allergic fungal sinusitis (three patients), inverted papilloma (one patient), lymphoma (one patient), and cancer maxilla (one patient).

Conclusion: Our preliminary study demonstrated that without the PLRA 45% of the cases will have remnants missed in hidden areas of the MS. The PLRA is a minimally invasive technique to deal with anterior MS lesions.

Keywords: maxillary sinus, nasal endoscope, nasolacrimal duct

Supported by: Nill

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Keywords: maxillary sinus, nasal endoscope, nasolacrimal duct