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Third window approach assisted middle meatal antrostomy: prospective cohort study of the two ports technique in management of hard to reach maxillary sinus pathology

Published online by Cambridge University Press:  20 July 2020

M O Tomoum ,
M H Askar ,
A H Hamad ,
A El-Naggar  and
M Amer
M O Tomoum*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta University, Tanta, Egypt
M H Askar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta University, Tanta, Egypt
A H Hamad
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta University, Tanta, Egypt
A El-Naggar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta University, Tanta, Egypt
M Amer
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tanta University, Tanta, Egypt
*
Author for correspondence: Dr M O Tomoum, Tanta University Hospital, Department of Otolaryngology – Head and Neck Surgery, El-Geish Street, Tanta31511, Egypt E-mail: [email protected]
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Abstract

Objective

This study aimed to assess the outcomes of a prelacrimal recess approach assisted middle meatal antrostomy in the management of hard to reach maxillary sinus pathologies.

Method

Twenty-five patients with maxillary sinus pathology underwent prelacrimal recess approach assisted middle meatal antrostomy (with a prelacrimal recess width of more than 3 mm). Patients were prospectively evaluated using both the Arabic version of the Sino-Nasal Outcome Test-22 and nasal endoscopy at least 6 months post-operatively.

Results

Our study included 25 maxillary sinuses (13 with antrochoanal polyps, 10 with maxillary fungal ball and 2 with a migrated part of a tooth). At a mean follow-up period of 10.9 months, all patients showed significant improvement in total mean Sino-Nasal Outcome Test-22 score. There was recurrence of one case with antrochoanal polyp and two cases with asymptomatic synechia. Injury to the nasolacrimal duct was not reported.

Conclusion

A prelacrimal recess approach assisted middle meatal antrostomy is a reliable and safe technique to manage pathologies in hard to reach regions within the maxillary sinus.

Keywords

Maxillary SinusSinusitisEndoscopyPolypsParanasal Sinus Diseases
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 7 , July 2020 , pp. 636 - 641
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr M O Tomoum takes responsibility for the integrity of the content of the paper

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