Treatment of Facial Neuralgia Developed after Inferior Meatal Antrostomy by Narrowing of the Inlet with Endoscopic Cartilage Graft
- Author:
Jong Sook YI
1
;
Hong Ryul JIN
Author Information
- Publication Type:Case Report
- Keywords: Facial pain; Caldwel-Luc operation; Inferior meatal antrostomy; Inferior orbital nerve dehiscence
- MeSH: Bays; Cartilage; Endoscopy; Facial Neuralgia; Facial Pain; Methods; Mucocele; Transplants
- From:Journal of Rhinology 2019;26(1):52-55
- CountryRepublic of Korea
- Language:English
- Abstract: Inferior meatal antrostomy (IMA) is a widely performed surgical technique to treat postoperative maxillary mucocele. The method is safe and easy to perform, without major complications compared with other approaches. Facial pain after IMA is a rare clinical entity that can be challenging to diagnose and treat. The authors present an unusual case of acute facial neuralgia triggered by cold air that developed after IMA. The antrostomy was located at the anterior-most part of the inferior meatus, and the inlet size was relatively large compared with the size of the remaining sinus. Surgical narrowing of the antrostomy inlet using endoscopy dramatically reduced the symptoms, and symptom relief was maintained for up to one year after surgery.
