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Extended endoscopic approaches to the maxillary sinus

Published online by Cambridge University Press:  08 June 2020

A Ashman ,
A J Psaltis ,
P J Wormald  and
N C-W Tan
A Ashman
Affiliation:
Department of Otolaryngology, Oxford University Hospitals, UK
A J Psaltis
Affiliation:
Department of Otolaryngology, University of Adelaide and Queen Elizabeth Hospital, Adelaide, Australia
P J Wormald
Affiliation:
Department of Otolaryngology, University of Adelaide and Queen Elizabeth Hospital, Adelaide, Australia
N C-W Tan*
Affiliation:
Department of Otolaryngology, Royal Cornwall Hospital, Truro, UK
*
Author for correspondence: Mr Neil C-W Tan, Department of Otolaryngology, Royal Cornwall Hospital, Treliske, TruroTR1 3LQ, UK E-mail: [email protected]
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Abstract

Objectives

Treatment of inflammatory and neoplastic disease in the maxillary sinus, pterygopalatine and infratemporal fossae requires appropriate surgical exposure. As modern rhinology evolves, so do the techniques available. This paper reviews extended endoscopic approaches to the maxillary sinus and the evidence supporting each technique.

Methods

A literature search of the Ovid Medline and PubMed databases was performed using appropriate key words relating to endoscopic approaches to the maxillary sinus.

Results

Mega-antrostomy and medial maxillectomy have a role in the surgical treatment of refractory inflammatory disease and sinonasal neoplasms. The pre-lacrimal fossa approach provides excellent access but can be limited because of anatomical variations. Both the transseptal and endoscopic Denker's approaches were reviewed; these appear to be associated with morbidity, without any significant increase in exposure over the afore-described approaches.

Conclusion

A range of extended endoscopic approaches to the maxillary sinus exist, each with its own anatomical limitations and potential complications.

Keywords

Endoscopic Surgical ProcedureMinimally Invasive SurgeryMaxillary SinusOtorhinolaryngologyParanasal Sinus Diseases
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 6 , June 2020 , pp. 473 - 480
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr N C-W Tan takes responsibility for the integrity of the content of the paper

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