Extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach for maxillary lesions
10.3760/cma.j.issn.1673-0860.2014.09.004
- VernacularTitle:下鼻甲反转扩大下鼻道入路上颌窦手术
- Author:
Youxiang MA
1
;
Xiuyong DING
;
Hao TIAN
;
Baocheng DONG
Author Information
1. 100050,首都医科大学附属北京友谊医院耳鼻咽喉科
- Keywords:
Maxillary sinus;
Endoscopy;
Otorhinolaryngologic surgical procedures;
Turbinates;
Surgical approach
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(9):717-720
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of the extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach.Methods Eight patients underwent extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach for maxillary sinus lesions.The indications,surgical management and outcomes of the surgery were presented.Results There were 2 cases of maxillary dentigerous cyst with oroantral fistula,2 cases of antrochoanal polyp,2 cases of maxillary sinus inverted papillomas,1 case of odontogenic maxillary sinusitis with oroantral fistula,and 1 case of maxillary sinus mucocele.All patients underwent extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach without intraoperative complication,with good access to the lesions.Complete resection could be achieved through this approach,no postoperative complications occurred except one patient had a delayed wound healing of inferior turbinate,all patients were free of recurrence with the average postoperative follow-up of 7.8 months (range 4-12 months).Conclusion The extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach is recommended for some maxillary pathology owing to its good access to the lesions and complete resection.
