Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials
Abstract Background When medical therapy fails to control maxillary sinus (MS) disease, surgery is required. There are many advanced MS endoscopic approaches, each one with its anatomical limitations and possible complications. This study aimed to review the outcomes of three endoscopic approaches t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | The Egyptian Journal of Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43163-024-00586-5 |
| _version_ | 1797276077590052864 |
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| author | Mohamed Omar A. Gad Ahmed Ali Ibrahim Ahmed Abdel Aleem Shimaa Ibrahim Mohamed |
| author_facet | Mohamed Omar A. Gad Ahmed Ali Ibrahim Ahmed Abdel Aleem Shimaa Ibrahim Mohamed |
| author_sort | Mohamed Omar A. Gad |
| collection | DOAJ |
| description | Abstract Background When medical therapy fails to control maxillary sinus (MS) disease, surgery is required. There are many advanced MS endoscopic approaches, each one with its anatomical limitations and possible complications. This study aimed to review the outcomes of three endoscopic approaches to the MS (middle meatal antrostomy approach (MMAA), prelacrimal recess approach (PLRA), and canine fossa approach (CFA)) to manage benign MS lesions. Methods Sixty-three patients with diseased MS require surgery. Endoscopic MS approaches used include MMAA, PLRA, and CFA. Each approach was used in 21 patients. The outcome of each approach was measured regarding lesion accessibility and clearance, complications (intraoperative or postoperative), and recurrence. Results The maxillary sinus posterior wall was accessible in all approaches. Other walls and different recesses were also accessible in the case of PLRA and CFA with statistically significant difference between the three approaches. There was no significant difference between patients operated by PLRA and CFA regarding accessibility to different walls and recesses of the MS. Endoscopic and radiological recurrence were found in three (15%) patients who were operated by MMAA. There was no evidence of recurrence in patients operated by the other approaches. Complications like crustations, fascial pain, fascial welling, and fascial hypoesthesia occurred in a few patients. Conclusion By using a suitable endoscopic approach, the different walls and recesses of the MS were completely accessible, so benign MS lesions that required open surgical approaches can be managed endoscopically while preserving the sinus structure and function. |
| first_indexed | 2024-03-07T15:23:10Z |
| format | Article |
| id | doaj.art-aba431dab6d34ebfbe157a95f7df1882 |
| institution | Directory Open Access Journal |
| issn | 2090-8539 |
| language | English |
| last_indexed | 2024-03-07T15:23:10Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj.art-aba431dab6d34ebfbe157a95f7df18822024-03-05T17:30:10ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392024-02-014011810.1186/s43163-024-00586-5Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trialsMohamed Omar A. Gad0Ahmed Ali Ibrahim1Ahmed Abdel Aleem2Shimaa Ibrahim Mohamed3Department of Otorhinolaryngology, Faculty of Medicine, Assiut UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Alexandria UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Assiut UniversityDepartment of Otorhinolaryngology, Faculty of Medicine, Assiut UniversityAbstract Background When medical therapy fails to control maxillary sinus (MS) disease, surgery is required. There are many advanced MS endoscopic approaches, each one with its anatomical limitations and possible complications. This study aimed to review the outcomes of three endoscopic approaches to the MS (middle meatal antrostomy approach (MMAA), prelacrimal recess approach (PLRA), and canine fossa approach (CFA)) to manage benign MS lesions. Methods Sixty-three patients with diseased MS require surgery. Endoscopic MS approaches used include MMAA, PLRA, and CFA. Each approach was used in 21 patients. The outcome of each approach was measured regarding lesion accessibility and clearance, complications (intraoperative or postoperative), and recurrence. Results The maxillary sinus posterior wall was accessible in all approaches. Other walls and different recesses were also accessible in the case of PLRA and CFA with statistically significant difference between the three approaches. There was no significant difference between patients operated by PLRA and CFA regarding accessibility to different walls and recesses of the MS. Endoscopic and radiological recurrence were found in three (15%) patients who were operated by MMAA. There was no evidence of recurrence in patients operated by the other approaches. Complications like crustations, fascial pain, fascial welling, and fascial hypoesthesia occurred in a few patients. Conclusion By using a suitable endoscopic approach, the different walls and recesses of the MS were completely accessible, so benign MS lesions that required open surgical approaches can be managed endoscopically while preserving the sinus structure and function.https://doi.org/10.1186/s43163-024-00586-5Maxillary sinusMaxillary sinus endoscopic approachesBenign maxillary sinus diseases |
| spellingShingle | Mohamed Omar A. Gad Ahmed Ali Ibrahim Ahmed Abdel Aleem Shimaa Ibrahim Mohamed Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials The Egyptian Journal of Otolaryngology Maxillary sinus Maxillary sinus endoscopic approaches Benign maxillary sinus diseases |
| title | Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials |
| title_full | Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials |
| title_fullStr | Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials |
| title_full_unstemmed | Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials |
| title_short | Outcomes of endoscopic management of benign maxillary sinus lesions 5-year experience, non-randomized clinical trials |
| title_sort | outcomes of endoscopic management of benign maxillary sinus lesions 5 year experience non randomized clinical trials |
| topic | Maxillary sinus Maxillary sinus endoscopic approaches Benign maxillary sinus diseases |
| url | https://doi.org/10.1186/s43163-024-00586-5 |
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