OBJECTIVE: To study surgical techniques and clinical applications of the intranasal endoscopic combined approach in maxillary sinus benign lesions surgery. METHOD: A retrospective clinical analysis of 27 patients "whose unilateral maxillary sinus benign lesions operated by the intranasal endoscopic middle meatus with inferior meatus tears recess approach surgical treatment was studied. RESULT: Benign lesions were confirmed by pathology in all patients before and after surgery as to rule out malignancy. All patients had been followed up for 12 to 24 months. Twenty-seven cases resulted in normal luminal epithelium and inferior turbinate shape after surgery. Only one case of papilloma relapsed 2 months after operation. So far, the papilloma has not recurred after the second surgery. There were no epiphora in all cases. CONCLUSION Endonasal endoscopic expand anterior tears recess approach have great and clear view. This approach made us accurately, mini-invade and completely remove the maxillary sinus benign lesions. It is a physiological and functional surgery and has great advantage in the nasal cavity disease treatment.
Adult ; Aged ; Endoscopy ; methods ; Female ; Humans ; Lacrimal Apparatus ; surgery ; Male ; Maxillary Sinus ; Middle Aged ; Nasal Surgical Procedures ; methods ; Nose ; surgery ; Paranasal Sinus Diseases ; surgery ; Retrospective Studies