Endoscopic Inferior Meatal Antrostomy for Antrochoanal Polyps: A Long-Term Follow-Up

Landsberg, Roee; Masalha, Muhamed; Margulis, Ariel; Rosman, Yossi; Schneider, Shay

doi:10.1159/000518279

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…In addition, our and other studies found high IMA window closure rate for the patients with IMA [ 12 ]. Previous study suggested that the mucociliary clearance was toward all along the MS ostium even if IMA was performed [ 15 ], thus we believed that extended MMA via extended medial wall was enough but IMA wasn’t necessary for the treatment of FMS in most cases.…”

Section: Discussionmentioning

confidence: 95%

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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Section: Discussionmentioning

confidence: 95%

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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“…The identification and removal of the origin are vital for preventing the ACP recurrence. Previous studies showed that most unilateral ACPs originated from the lateral wall and inferior regions [ 4 , 7 ]. Al-Balas et al [ 4 ] reported that 31.7% were located in the inferior wall, 12.2% in the anterior wall, 9.8% in the lateral wall, and 4.9% in the posterior wall.…”

Section: Discussionmentioning

confidence: 99%

Comparison of conventional and extended middle meatal antrostomy for the treatment of antrochoanal polyps

Zong

Lou

2023

BMC Surg

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Objective The objective was to compare the recurrence rate and complications between endoscopic middle meatal antrostomy (MMA) and extended MMA for the treatment of antrochoanal polyps (ACPs). Methods and materials 95 ACPs were prospectively enrolled to undergo MMA (n = 48) or extended MMA (n = 47). The recurrence rate and complications were compared between these groups. Results All patients completed 24 months of follow-up. The recurrence of ACP was demonstrated by only endoscope at 6 and 12 months postoperatively but at 24 months postoperatively by endoscope and CT. Rates of recurrence of ACP differed between groups and significance at postoperative month 6 (7/48 patients in the MMA group and 0/47 patients in the extended MMA group, P = 0.02), month 12 (16/48 vs. 2/47, P < 0.01) and month 24 (21/48 vs. 3/47, P < 0.01). No MMA closure was found in any group, 19.15% (9/47) patients complained of cheek numbness in the extended MMA group, however, no major complications were observed in both groups. Conclusions Extended MMA via antidromic extended medial wall of MS may effectively reduce the recurrence of ACP with lower complications.

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“…One recent study has shown that INA is superior to MMA as it does not void the Ostiomeatal Complex 16 .…”

Section: Discussionmentioning

confidence: 99%

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Mohan

Thejas

Murali

et al. 2022

Romanian Journal of Rhinology

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OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters. MATERIAL AND METHODS. All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 weeks after surgery. RESULTS. MMA did about 6.82% better than INA in relieving symptoms, had 1.08% better CT image and 4.58% better in regards of nasal endoscopy findings. CONCLUSION. Although endoscopic Middle Meatal Antrostomy is a newer and more non-invasive procedure, the age-old Intranasal Antrostomy with Nasoantral Window-Plasty is still relevant in the management of chronic maxillary sinusitis in this modern age in our rural area.

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Endoscopic Inferior Meatal Antrostomy for Antrochoanal Polyps: A Long-Term Follow-Up

Cited by 8 publications

References 30 publications

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

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

Comparison of conventional and extended middle meatal antrostomy for the treatment of antrochoanal polyps

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

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