Surgical outcomes between two endoscopic approaches for maxillary cysts

Lou, Zhengcai

doi:10.1016/j.bjorl.2022.05.006

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…1 It is a well-known fact that an excessively resected inferior turbinate, especially the head portion, may cause the development of an empty nose syndrome (ENS). 3 Although few prior publications have reported a recirculation phenomenon following an IMA with excessive inferior turbinate resection, 4,5 none have reported a case of a persisting IMA window in association with ENS or facial pain.…”

Section: Introductionmentioning

confidence: 99%

Facial Pain Triggered by Inferior Turbinate Partial Resection in a Patient with a Previous History of Inferior Meatal Antrostomy: A Case Report

Park

Jang

2023

Ann Otol Rhinol Laryngol

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Objectives Inferior meatal antrostomy (IMA) is regarded as a safe method, with minimal complications, for managing various lesions in the maxillary sinus. However, in patients with persisting IMA window, resection of the inferior turbinate may result in direct airflow into the antrum, irritating the antral mucosa. Methods: Case report and review of literature. Results/Case: The present report describes a 29-year-old man who previously underwent unilateral IMA for the excision of a dentigerous cyst. The patient did not report any facial pain following the excision of the cyst. One year later, this patient underwent partial resection of the inferior turbinate for the resolution of nasal stuffiness by another surgeon. Soon after surgery, the patient developed severe facial and ocular pain on the side of the IMA, with the pain being especially aggravated upon inhalation. Endoscopy and computed tomography (CT) revealed a persisting IMA window. The patient’s severe discomfort was thought to result from direct airflow into the maxillary sinus, as the resected turbinate may have altered normal nasal airflow. A unilateral inferior meatal augmentation procedure (IMAP) with an autologous ear cartilage implant was performed, resulting in complete relief of pain and discomfort. Conclusions: Although IMA alone is a relatively safe surgical procedure, care should be taken when performing inferior turbinoplasty in patients with persistent IMA opening.

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Section: Introductionmentioning

confidence: 99%

Facial Pain Triggered by Inferior Turbinate Partial Resection in a Patient with a Previous History of Inferior Meatal Antrostomy: A Case Report

Park

Jang

2023

Ann Otol Rhinol Laryngol

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“…At present, ESS has become the accepted treatment [ 4 – 6 ]. However, the standard ESS approach with middle meatal antrostomy (MMA) had high recurrence[ 4 – 6 ], some previous reports have recommended a combined approach of MMA and inferior meatal antrostomies (IMA, combined approach), for severe cases of MS [ 7 – 9 ]. Nevertheless, very few reports have evaluated the results of a combination of MMA with an IMA for FMS, and it has not been established whether IMA is necessary for successful ESS.…”

Section: Introductionmentioning

confidence: 99%

Extended middle meatal antrostomy via antidromic extended medial wall for the treatment of fungal maxillary sinusitis

Ding

Na-guo²,

Lou³

2022

BMC Surg

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Objective The objective of this study was to compare the long-term results of extended middle meatal antrostomy (MMA) and MMA combined with inferior meatal antrostomy (IMA, combined approach) for the treatment of fungal maxillary sinusitis (FMS). Methods and materials A retrospective analysis including 90 patients with non-invasive FMS was treated with endoscopic extended MMA via antidromic extended medial wall (extended MMA group), or with both MMA and IMA (combined approach group). The recurrence rate, operation time, and complications were evaluated at postoperative 12 and 36 months. Results Of the 90 patients, 52 patients were in the extended MMA group and 38 patients in the combined approach group. CT revealed the thin medial wall or bone defect in 63.33% (57/90) patients. The mean operation time in the extended MMA group was significantly shorter than that of combined approach group (42.5 ± 6.5 vs 57.4 ± 4.9, P < 0.01). At postoperative 12 months postoperatively, the recurrence rate was 3.85% (2/52) in the extended MMA group and 0.0% (0/38) in the combined approach group, the difference wasn’t significant (X2 = 0.618, P > 0.05). The recurrence rate wasn’t increased during the follow-up period over time in both groups.13.5% (7/52) patients complained of cheek numbness in the extended MMA group, 60.5% (23/38) patients complained of cheek numbness and epiphora in 5.3% (2/38) patients in the combined approach group, the difference was significant (X2 test, P < 0.01). However, no major complications were observed in both groups. In addition, IMA closure was observed in 4 (10.5%) in the combined approach group at 12 months postoperatively and in 9 (23.6%) at 36 months postoperatively. Conclusions Extended MMA via antidromic extended medial wall may effectively prevent the recurrence and reduce the complications of FMS, IMA wasn’t necessary for the treatment of FMS in most cases.

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Treatment Strategy for the Retention Cyst of the Maxillary Sinus

Moon,

Lee

2024

Korean J Otorhinolaryngol-Head Neck Surg

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Retention cysts are commonly found in the maxillary sinus and are discovered incidentally on imaging studies. Obstruction of the ducts of the seromucous glands of the paranasal sinus lining is thought to induce the development of retention cysts. Since retention cysts are asymptomatic and tend to degenerate, they do not require definite treatment. However, in clinical practice, surgical treatment is often performed without clear indications. Retention cysts need to be surgically managed when accompanied with relevant clinical symptoms or with obstruction of the natural ostium, or when involving the ostiomeatal complex or the infraorbital nerve. Endoscopic sinus surgery has become the surgical procedure of choice for removing retention cyst. Therefore, it is important for rhinologists to understand the nature and behavior of this pathology so that unnecessary surgical intervention could be avoided.

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Surgical outcomes between two endoscopic approaches for maxillary cysts

Cited by 3 publications

References 24 publications

Facial Pain Triggered by Inferior Turbinate Partial Resection in a Patient with a Previous History of Inferior Meatal Antrostomy: A Case Report

Facial Pain Triggered by Inferior Turbinate Partial Resection in a Patient with a Previous History of Inferior Meatal Antrostomy: A Case Report

Extended middle meatal antrostomy via antidromic extended medial wall for the treatment of fungal maxillary sinusitis

Treatment Strategy for the Retention Cyst of the Maxillary Sinus

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