JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 34-36.doi: 10.6040/j.issn.1673-3770.0.2014.244

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Endoscopic anterior prelacrimal recess surgery in treatment of maxillary sinus lesions

WANG Xiao-ye, YOU Jian-qiang, LI Hai-feng, CHAO Chang-jiang   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Changzhou First Hospital, Changzhou 213003, Jiangsu, China
  • Received:2014-07-16 Published:2014-12-16

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Abstract: Objective To explore the application of endoscopic transnasal prelaerimal recess-maxillary sinus approach in surgery for maxillary sinus lesions.Methods A total of 31 patients with maxillary sinus lesions were treated by endoscopic transnasal prelaerimal recess-maxillary sinus surgery between September 2011 and January 2014. Among them there were 19 cases of inverted papilloma(3 of malignant transformation), 5 cases of hemorrhagic necrotic polyps, 3 cases of fungal maxillary sinusitis, and 4 cases of maxillary sinus polyps. The operation was performed under hypotension anaesthesia and performed with an endoscopic transnasal lateral nasal wall approach to the maxillary sinus.Then all the lesions were completely removed under endoscopy. Results The lesions were removed totally in all 31 patients.No complications were found.Three patients with inverted papilloma canceration underwent radiotherapy after surgery. All the patients fully recovered and were discharged from the hospital in 5 to 8 days.Except one patient with papillary epithelioma, no recurrence occurred during the follow up periods ranging from 5 to 33 months.Conclusion Endoscopic transnasal prelacrimal recess-maxillary sinus approach can maintain the structure of nasolaerimal duct and fully expose the maxillary sinus. Lesions removed totally can greatly decrease the morbidity.

Key words: Endoscopic surgical procedures, operative, Maxillary sinus, Anterior prelacrimal recess, Nasolacrimal duct, Papilloma

CLC Number: 

  • R765.9
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