Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-24T06:51:25.958Z Has data issue: false hasContentIssue false

Septotomy: a useful approach to the anterior maxillary sinus

Published online by Cambridge University Press:  03 August 2009

T H Lesser
Affiliation:
ENT Department, University Hospital of Aintree, Liverpool, UK
R Suryanarayanan*
Affiliation:
ENT Department, University Hospital of Aintree, Liverpool, UK
*
Address for correspondence: Mr R Suryanarayanan, ENT department, University Hospital Aintree, Liverpool, L97AL Phone: 01515295262 E-mail: [email protected]

Abstract

In endonasal surgery, approaching the anterior maxillary wall via the ipsilateral nostril is difficult. It is necessary to have good visual and instrument control when removing lesions such as inverted papilloma. We describe an approach through a temporary septotomy which provides good access from the contralateral nostril. The contralateral mucoperichondrial incision is anterior and the ipsilateral one posterior. The cartilage is hinged superiorly. There is minimal chance of perforation.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2009

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

Presented at the 7th annual British Rhinology Society meeting, Liverpool, 23rd May 2008.

References

1 Kern, EB, Laws, ER Jr. The transseptal approach to the pituitary gland. Rhinology 1978;16:5978Google Scholar
2 Robinson, S, Patel, N, Wormald, PJ. Endoscopic management of benign tumors extending into the infratemporal fossa: a two-surgeon transnasal approach. Laryngoscope 2005;115:1818–22CrossRefGoogle ScholarPubMed
3 Stamm, AC, Vellutini, E, Harvey, RJ, Nogeira, JF Jr, Herman, DR. Endoscopic transnasal craniotomy and the resection of craniopharyngioma. Laryngoscope 2008;118:1142–8Google Scholar