Endoscopic transnasal prelacrimal recess-maxillary sinus approach for tumors in the pterygopalatine fossa.
- Author:
Yuan-zhi BIE
1
;
Jing-wu SUN
;
Jia-qiang SUN
;
Tao GUO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Child; Endoscopy; Female; Humans; Maxillary Sinus; surgery; Middle Aged; Nasal Cavity; surgery; Pterygopalatine Fossa; Retrospective Studies; Skull Neoplasms; surgery
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2012;47(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the application of endoscopic transnasal prelacrimal recess-maxillary sinus approach in surgery for lesions in the pterygopalatine fossa.
METHODSFive patients with tumors of pterygopalatine fossa were treated by endoscopic transnasal prelacrimal recess-maxillary sinus surgery between May 2008 and May 2011. The lesions treated included 4 schwannoma. and 1 neurofibroma. The operation began with endoscopic transnasal lateral nasal wall approach to maxillary sinus. Then after opening posterior wall of maxillary sinus, the pterygopalatine fossa was entered and the tumor was removed. The operation was performed under hypotension anaesthesia.
RESULTSThe tumors were removed totally in all 5 patients. No complication was found. After the surgery, all patients fully recovered and were discharged from the hospital in 5 to 12 days. No recurrence and death occurred during the follow up periods ranging from 5 to 28 months.
CONCLUSIONSEndoscopic transnasal prelacrimal recess-maxillary sinus approach is safe and effective management for benign tumors in the pterygopalatine fossa. This approach reserved nasolacrimal duct and turbinate, maintained the structure and function of the nose, with decreased morbidity and shorter recovery periods.