A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus

Background and Objectives The prelacrimal window approach (PLWA) is useful for treating anterior maxillary sinus lesions. A previous study reported that the feasibility of PLWA in Chinese patients was 93.0%, which is higher than that in the European population (68.5%). This study aimed to compare th...

Full description

Bibliographic Details
Main Authors: Hansol Kim, Taesik Jung, Joon Yong Park, Jiyeon Lee, Jae Hoon Cho, Jin Kook Kim
Format: Article
Language:English
Published: Korean Rhinologic Society 2022-03-01
Series:Journal of Rhinology
Subjects:
Online Access:http://j-rhinology.org/upload/pdf/jr-2021-00394.pdf
_version_ 1828165486812069888
author Hansol Kim
Taesik Jung
Joon Yong Park
Jiyeon Lee
Jae Hoon Cho
Jin Kook Kim
author_facet Hansol Kim
Taesik Jung
Joon Yong Park
Jiyeon Lee
Jae Hoon Cho
Jin Kook Kim
author_sort Hansol Kim
collection DOAJ
description Background and Objectives The prelacrimal window approach (PLWA) is useful for treating anterior maxillary sinus lesions. A previous study reported that the feasibility of PLWA in Chinese patients was 93.0%, which is higher than that in the European population (68.5%). This study aimed to compare the ease of PLWA between a patient group and healthy controls and to analyze the results for Koreans compared to those of previous studies. Differences between the patient and control groups and the distribution of types in the Korean population were evaluated. Methods We analyzed 89 paranasal computed tomography (CT) scans from 51 controls and 38 patients (178 sides). We measured the distance distribution between the anterior wall of the maxillary sinus and the anterior wall of the lacrimal duct (D1) and its thickness (T). We compared the values in the control and patient groups. Results D1 and D2 were similar between the patient and control groups (p=0.395, p=0.344), though T was greater in the patient group (p<0.001). In the patient group, sinus with inverted papilloma (IP) and normal sinus were not significantly different for any of these measures. The D1 distribution in Koreans did not differ significantly from that of Chinese but did differ from that of Europeans. Conclusion The ease of PLWA was 92.2% in Koreans, which is more similar to that of Chinese (93.0%) than to that of Europeans (68.5%). D1 and D2 of the patient group did not differ from those of the control group, but T was greater in the patient group. In the patient group, D1 and D2 were not significantly different between sinus with IP and normal sinus. The frequency of type 2+3 in patients was similar to that of the control group.
first_indexed 2024-04-12T01:44:24Z
format Article
id doaj.art-dc0a649be3d54484bffa47d04376a77b
institution Directory Open Access Journal
issn 2384-4361
language English
last_indexed 2024-04-12T01:44:24Z
publishDate 2022-03-01
publisher Korean Rhinologic Society
record_format Article
series Journal of Rhinology
spelling doaj.art-dc0a649be3d54484bffa47d04376a77b2022-12-22T03:53:07ZengKorean Rhinologic SocietyJournal of Rhinology2384-43612022-03-01291384210.18787/jr.2021.00394744A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary SinusHansol Kim0Taesik Jung1Joon Yong Park2Jiyeon Lee3Jae Hoon Cho4Jin Kook Kim5 Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Chungju, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of KoreaBackground and Objectives The prelacrimal window approach (PLWA) is useful for treating anterior maxillary sinus lesions. A previous study reported that the feasibility of PLWA in Chinese patients was 93.0%, which is higher than that in the European population (68.5%). This study aimed to compare the ease of PLWA between a patient group and healthy controls and to analyze the results for Koreans compared to those of previous studies. Differences between the patient and control groups and the distribution of types in the Korean population were evaluated. Methods We analyzed 89 paranasal computed tomography (CT) scans from 51 controls and 38 patients (178 sides). We measured the distance distribution between the anterior wall of the maxillary sinus and the anterior wall of the lacrimal duct (D1) and its thickness (T). We compared the values in the control and patient groups. Results D1 and D2 were similar between the patient and control groups (p=0.395, p=0.344), though T was greater in the patient group (p<0.001). In the patient group, sinus with inverted papilloma (IP) and normal sinus were not significantly different for any of these measures. The D1 distribution in Koreans did not differ significantly from that of Chinese but did differ from that of Europeans. Conclusion The ease of PLWA was 92.2% in Koreans, which is more similar to that of Chinese (93.0%) than to that of Europeans (68.5%). D1 and D2 of the patient group did not differ from those of the control group, but T was greater in the patient group. In the patient group, D1 and D2 were not significantly different between sinus with IP and normal sinus. The frequency of type 2+3 in patients was similar to that of the control group.http://j-rhinology.org/upload/pdf/jr-2021-00394.pdfendoscopic sinus surgeryinverted papillomamaxillary sinusprelacrimal window approach
spellingShingle Hansol Kim
Taesik Jung
Joon Yong Park
Jiyeon Lee
Jae Hoon Cho
Jin Kook Kim
A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
Journal of Rhinology
endoscopic sinus surgery
inverted papilloma
maxillary sinus
prelacrimal window approach
title A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
title_full A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
title_fullStr A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
title_full_unstemmed A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
title_short A Retrospective CT Analysis for Prelacrimal Window Access to Maxillary Sinus
title_sort retrospective ct analysis for prelacrimal window access to maxillary sinus
topic endoscopic sinus surgery
inverted papilloma
maxillary sinus
prelacrimal window approach
url http://j-rhinology.org/upload/pdf/jr-2021-00394.pdf
work_keys_str_mv AT hansolkim aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT taesikjung aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT joonyongpark aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jiyeonlee aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jaehooncho aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jinkookkim aretrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT hansolkim retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT taesikjung retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT joonyongpark retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jiyeonlee retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jaehooncho retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus
AT jinkookkim retrospectivectanalysisforprelacrimalwindowaccesstomaxillarysinus