PURPOSE: Maxillary sinus cancers usually are locally advanced and involve the structures around sinus. It is uncommon for this cancer to spread to the regional lymphnodes. For this reason, local control is of paramount important for cure. A policy of combined treatment is generally accepted as the most effective means of enhancing cure rates. This paper reports our experience of a retrospective study of 31 patients treated with radiation therapy alone and combination therapy of surgery and radiation. MATERIALS AND METHODS: Between July 1974 and January 1992, 47 patients with maxillary sinus cancers underwent either radiation therapy alone or combination therapy of surgery and radiation. Of these, only 31 patients were eligible for analysis. The distribution of clinical stage by the AJCC system was 26%(8/31) for T2 and 74%(23/31) for T3 and T4. Eight patients had palpable lymphadenopathy at diagnosis. Primary site was treated by Cobalt-60 radiation therapy using through a 45degree wedge-pair technique. Elective neck irradiation was not routinely given. Of these 8 patients, the six who had clinically involved nodes were treated with definite radiation therapy. The other two patients had received radical neck dissection. The twenty-two patients were treated with radiation alone and 9 patients were treated with combination radiation therapy. The RT alone patients with RT dose less than 60 Gy were 9 and those above 60 Gy were 13. RESULTS: The overall 5 year survival rate was 23.8%. The 5 year survival rate by T-stage was 60.5% and 7.9% for T2 and T3, 4 respectively. Statistical significance was found by T-stage (p<0.005). The 5 year survival rate by N-stage was 30% for N(-) and 8.3% for N(+), but statistically no significant difference was seen(p30.1). The 5 year survival rate for RT alone and combination RT was 22.5% and 27.4%, respectively. The primary local control rate was 65%(20/31). CONCLUSION: This study did not show significant difference in survival between RT alone and combination RT. There is still much controversy with regard to which treatment is optimum. Improved RT technique and development of multimodality treatment are essential to improve the local control and the survival rate in patients with advanced maxillary sinus cancer.
Diagnosis ; Humans ; Lymphatic Diseases ; Maxillary Sinus Neoplasms* ; Maxillary Sinus* ; Neck ; Neck Dissection ; Retrospective Studies ; Survival Rate

94 patients who were 15 years or more were involved in study. These patients were underwent histological examinations. Histopathological revealed variable and complex lesions, with multiple lesions in the same sinus such as mucous degeneration, hyperplasia, dysplasia, atrophy, papiloma, fungus. Lesions in buffer tissues include significant edema, bleeding, congestion, gland proliferation and structural abnormalities.
Maxillary Sinusitis ; Maxillary Diseases ; pathology

OBJECTIVETo explore the feasibility of the extended inferior meatal maxillary antrostomy through inferior turbinate reversing approach.

METHODSEight 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.

RESULTSThere 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).

CONCLUSIONThe 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.

Cysts ; Dentigerous Cyst ; Humans ; Maxilla ; Maxillary Sinus ; surgery ; Maxillary Sinus Neoplasms ; Maxillary Sinusitis ; Mucocele ; Nasal Polyps ; Papilloma, Inverted ; Paranasal Sinus Diseases ; surgery ; Postoperative Complications ; Turbinates ; surgery

Regeneration of maxilary mucosa were seen in 14/20 patients with ages of 6 months -5 years after Caladwell- Luc operation. Contrary, the persistance of naso- antral window in the inferior meatus was only seen in 1/20 patients. In most of cases, this window is partial or total obliterated. An improve is proposed by the authors: - A small nasoantral creating window in the inferior meatus. - Preserve the mucosa at this window. - Enlarge the natural maxilary ostium.
Maxillary Diseases ; Regeneration

OBJECTIVES: Endoscopic prelacrimal medial maxillectomy (EPMM) was previously reported to treat maxillary inverted papilloma. This study aimed to compare prelacrimal recess approach with the conventional Caldwell-Luc approach (CLA) to remove benign maxillary sinus tumors and to evaluate the usefulness of this approach based on our experience. METHODS: Ten patients who underwent EPMM at our hospital from January 2013 to December 2017 were reviewed. We also reviewed 30 patients who underwent benign maxillary sinus tumor resection via CLA during the same period. From medical records, postoperative pathological results, complications due to surgery, and recurrence rate were evaluated. RESULTS: There were eight inverted papilloma, one ameloblastoma, and one ossifying fibroma in the EPMM group. In the CLA group, all 30 cases were inverted papilloma. There were no cases of failure at gross total removal during surgery, and no recurrences were observed during follow-up in either groups. Mean follow-up period was 13.0 months in CLA group and 10.8 months in EPMM group. Regarding postoperative complications, 11 patients of the CLA group (37%) and three patients of the EPMM group (30%) had numbness around the cheek and upper lip area after surgery (P=0.715). In the CLA group, there were eight patients who had numbness lasting more than 3 months after surgery, and two patients had numbness for more than 1 year. However, facial numbness disappeared within 3 months in all patients in the EPMM group, in which epiphora was not observed. CONCLUSION: EPMM is the effective surgical approach for resecting benign maxillary sinus tumor compared with CLA. Although facial numbness was reported in EPMM, the duration of numbness was shorter than CLA.
Ameloblastoma ; Cheek ; Endoscopy ; Fibroma, Ossifying ; Follow-Up Studies ; Humans ; Hypesthesia ; Lacrimal Apparatus Diseases ; Lip ; Maxillary Sinus Neoplasms ; Maxillary Sinus ; Medical Records ; Papilloma, Inverted ; Postoperative Complications ; Recurrence

2 patients received the microsurgical flap. Both flaps has been living well, the functions were recovered well. The shape of face was relatively equal. The patients received a false maxila and teeth. The moving functions of the leg donated the calcaneal bone were well recovered without influencing the life. The conclusion: the defct of facio-maxillary area is a major lession that should be treated. The technique of microsurgery with using the calcaneal bone flap helps reconstructing the facio-maxillary area.
Therapeutics ; Maxillary Diseases ; Surgical Flaps

In this report, an ameloblastoma case, which has been occurred on the left maxilla of a 10 year-old, male, German shepherd, was described on the clinical and morphological features. The mass with the dimensions of 5x2.5 cm was removed totally by maxillectomy and examined by radiography, magnetic resonance (MR) and biopsy. The tumor was histopathologically classified ameloblastoma of follicular type and in some fields showed acanthotic form. The invasiveness of the tumor was also observed to be high. This report is the first case of maxillary ameloblastoma in dogs in Turkey.
Ameloblastoma/*pathology/*veterinary ; Animals ; Dog Diseases/pathology ; Dogs ; Male ; Maxilla/pathology ; Maxillary Neoplasms/*pathology/*veterinary ; Neoplasm Invasiveness/pathology

Laser surgery and medicine were considered as one of the topic of mordern medical technologies and has been widely applied in the various medical fields. We have been using CO2 laser in maxillofacial surgery for 506 patients at Khanh Hoa provincial general hospital, since Feb 1994. Result: good: 93.08%, medium: 5.33%. Poor: 1.58%.
Laser Surgery ; Maxillary Diseases ; therapeutics ; surgery ; Lasers

Study on nursing caries syndrome of 197 children aged 2-3 years old in the kindergartens, located in districts, Ho Chi Minh city. 9.6% child were diagnosed as having nursing caries (at least one of the maxillary incisors having labial caries or/and erosion). 3 dietary factors, nocturnal bottle feeding, comforters, coated with sweeteners and use of fuices in the feeding bottle were found significantly associated with nursing caries. There was no significant characteristic with the exception birth order of the child, where the condition was significantly higher in the first born children as compared to the later issues of their parents
nursing ; Child ; Maxillary Diseases ; risk factors ; epidemiology

OBJECTIVETo evaluate the effect of endoscopic surgery for maxillary sinus inverted papilloma.

METHODSFrom 2000 to 2011, 50 patients with maxillary sinus inverted papilloma were treated with intranasal endoscopic surgery or combined approach. Among them, 39 cases were primary and 11 cases were recurrent, which included 17 patients with Krouse stage IIand 33 cases with Krouse stage III. Different surgical approaches were selected according to the range and positions of the lesions. One case with severe atypical hyperplasia received postoperative radiotherapy.

RESULTSAll cases were followed up for 3-14 years, 7 cases recurred. All occurrence within 2 years after operation. Malignant change and death was found in 1 case. After operation, epiphora occurred in 2 cases, maxillary sinus labiogingival groove fistula occurred in 2 cases, facial numbness occurred in 4 cases and incision hemorrhage occurred in 1 case. All the complications were cured after appropriate treatment.

CONCLUSIONSNaso-endoscopic surgery or combined approach is a safe, effective and microinvasive treatment for patients with maxillary sinus inverted papilloma. Accurate selection of suitable approach according to the range and positions of the lesions and correct management of the base of the tumor are critical to the success of the operation.

Endoscopy ; methods ; Humans ; Lacrimal Apparatus Diseases ; Maxillary Sinus ; surgery ; Maxillary Sinus Neoplasms ; surgery ; Nasal Surgical Procedures ; Neoplasm Recurrence, Local ; Nose ; Nose Neoplasms ; Papilloma, Inverted ; surgery ; Paranasal Sinus Neoplasms ; Postoperative Period ; Retrospective Studies