gms | German Medical Science

87th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 07.05.2016, Düsseldorf

Article

Send article

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

Meeting Abstract

Search Medline for

  • 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

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 87. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Düsseldorf, 04.-07.05.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16hnod536

doi: 10.3205/16hnod536, urn:nbn:de:0183-16hnod5360

Published: March 30, 2016

© 2016 Al Murtada et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

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

Der Erstautor gibt keinen Interessenkonflikt an.