Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-08T07:29:26.927Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

Soy, FK, Pinar, E, Imre, A, Calli, C, Calli, A, Oncel, S. Histopathologic parameters in chronic rhinosinusitis with nasal polyposis: impact on quality of life outcomes. Int Forum Allergy Rhinol 2013;3:828–33CrossRefGoogle ScholarPubMed
Richtsmeier, WJ. Top 10 reasons for endoscopic maxillary sinus surgery failure. Laryngoscope 2001;111:1952–6CrossRefGoogle ScholarPubMed
Morrissey, DK, Wormald, PJ, Psaltis, AJ. Prelacrimal approach to the maxillary sinus. Int Forum Allergy Rhinol 2016;6:214–8CrossRefGoogle ScholarPubMed
Woodworth, BA, Parker, RO, Schlosser, RJ. Modified endoscopic medial maxillectomy for chronic maxillary sinusitis. Am J Rhinol 2006;20:317–9CrossRefGoogle ScholarPubMed
Eloy, JA, Marchiano, E, Vazquez, A. Extended endoscopic and open sinus surgery for refractory chronic rhinosinusitis. Otolaryngol Clin North Am 2017;50:165–82CrossRefGoogle ScholarPubMed
Zhou, B, Han, DM, Cui, SJ, Huang, Q, Wei, YX, Liu, HC et al. Endoscopic nasal lateral wall dissection approach to maxillary sinus [in Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2007;42:743–8Google Scholar
el-Guindy, A, Mansour, MH. The role of transcanine surgery in antrochoanal polyps. J Laryngol Otol 1994;108:1055–7CrossRefGoogle ScholarPubMed
Lock, PSX, Siow, GW, Karandikar, A, Goh, JPN, Siow, JK. Anterior maxillary wall and lacrimal duct relationship in Orientals: CT analysis for prelacrimal access to the maxillary sinus. Eur Arch Otorhinolaryngol 2019;276:2237–41CrossRefGoogle Scholar
DeFreitas, J, Lucente, FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975–1985. Laryngoscope 1988;98:1297–300CrossRefGoogle ScholarPubMed
Simmen, D, Veerasigamani, N, Briner, HR, Jones, N, Schuknecht, B. Anterior maxillary wall and lacrimal duct relationship - CT analysis for prelacrimal access to the maxillary sinus. Rhinology 2017;55:170–4CrossRefGoogle Scholar
Elwany, S, Ibrahim, AA, Ismail, AS, Hussein, WK, Youssef, AS, Elwany, M et al. Arabic translation and validation of SNOT-22. Egypt J Otolaryngol 2017;33:611–5CrossRefGoogle Scholar
Hopkins, C, Gillett, S, Slack, R, Lund, VJ, Browne, JP. Psychometric validity of the 22-item sinonasal outcome test. Clin Otolaryngol 2009;34:447–54Google ScholarPubMed
Robey, A, O'Brien, EK, Leopold, DA. Assessing current technical limitations in the small-hole endoscopic approach to the maxillary sinus. Am J Rhinol Allergy 2010;24:396–401CrossRefGoogle ScholarPubMed
Yu, QQ, Guan, G, Zhang, NK, Zhang, XW, Jiang, Y, Lian, YY et al. Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma. Eur Arch Otorhinolaryngol 2018;275:2297–302CrossRefGoogle ScholarPubMed
Lee, JJ, Ahmad, ZA, Kim, D, Ryu, G, Kim, HY, Dhong, HJ et al. Comparison between endoscopic prelacrimal medial maxillectomy and Caldwell–Luc approach for benign maxillary sinus tumours. Clin Exp Otorhinolaryngol 2019;12:287–93CrossRefGoogle Scholar
Zhou, B, Han, DM, Cui, SJ, Huang, Q, Wang, CS. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J (Engl) 2013;126:1276–80Google ScholarPubMed
Li, L, London, NR Jr, Prevedello, DM, Carrau, RL. Endoscopic prelacrimal approach to lateral recess of sphenoid sinus: feasibility study. Int Forum Allergy Rhinol 2020;10:103–9CrossRefGoogle ScholarPubMed
Li, L, London, NR Jr, Silva, S, Prevedello, D, Carrau, RL. Transnasal prelacrimal approach to the inferior intraconal space: a feasibility study. Int Forum Allergy Rhinol 2019;9:1063–8CrossRefGoogle ScholarPubMed
Lin, YH, Chen, WC. Clinical outcome of endonasal endoscopic prelacrimal approach in managing different maxillary pathologies. PeerJ 2020;8:e8331CrossRefGoogle ScholarPubMed
Comoglu, S, Celik, M, Enver, N, Sen, C, Polat, B, Deger, K. Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 2016;27:1025–7CrossRefGoogle ScholarPubMed