Transnasal Prelacrimal Recess Approach for Recurrent Antrachoanal Polyp

Çomoğlu, Şenol; Çelık, Mehmet; Enver, Necati; Şen, Cömert; Polat, Beldan; Değer, Kemal

doi:10.1097/scs.0000000000002699

Cited by 25 publications

(19 citation statements)

References 17 publications

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“…Comoglu et al have recently suggested a transnasal prelacrimal recess approach in patients with recurrent antrochoanal polyps with an 83% success rate (10/12); according to the authors, this method of treatment ensured good exploration of the sinus and easy access to the origin of the polyp 18 despite a higher risk of damaging the lacrimal pathway.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, different surgical approaches have been proposed in association with the endoscopic technique in order to avoid recurrence due to incomplete removal of the polyp by providing less morbidity and a lower rate of complications compared to a Caldwell-Luc procedure. Better visualisation and access to the maxillary sinus can be obtained by combining ESS with a mini-Caldwell-Luc procedure 13 , canine fossa puncture 6 , 14 , 15 , inferior meatal antrostomy 16 , 17 , to a transnasal prelacrimal recess approach (suggested for revision surgery) 18 or ESS with wide middle meatal antrostomy 8 .…”

Section: Introductionmentioning

confidence: 99%

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A comparison of two endoscopic techniques for the treatment of antrochoanal polyps

Al-Balas

Farneti

Bellusci

et al. 2020

Acta Otorhinolaryngol Ital

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SUMMARY An antrochoanal polyp (ACP) is a benign sinonasal lesion that originates from the mucosa of the maxillary sinus. In order to avoid any recurrence of disease, it is important to choose the best surgical approach for removal of ACP with respect to the site of attachment within the maxillary sinus walls. A retrospective cohort study was carried out by analysing a database of 82 patients who were operated on for ACPs in the Ear, Nose and Throat (ENT) clinics of both Sant’Orsola-Malpighi Polyclinic Hospital and Bellaria Hospital in Bologna, Italy from January 2001 to November 2017 to compare the rate of recurrence of ACPs after surgical removal using two different approaches. The first technique was endoscopic antrochoanal polypectomy with middle meatal antrostomy and the second was endoscopic antrochoanal polypectomy combined with both middle meatal antrostomy and a minimal access through the inferior meatus. A total of 49 patients were operated on with an endoscopic polypectomy with middle meatal antrostomy and 18.4% experienced a recurrence. The remaining 33 patients underwent endoscopic polypectomy with combined middle meatal antrostomy and access through the inferior meatus with a recurrence rate of 3%. The difference between the two groups was statistically significant (p = 0.0441). The strategy of the authors, namely combining medial antrostomy with a small inferior meatus access, was associated with a lower rate of recurrence and no increased morbidity in the short- or long-term.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of two endoscopic techniques for the treatment of antrochoanal polyps

Al-Balas

Farneti

Bellusci

et al. 2020

Acta Otorhinolaryngol Ital

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“…This provides wide access to the walls and recesses of the maxillary sinus, while the inferior turbinate and nasolacrimal duct are preserved in the procedure . It has been reportedly used to remove antrochoanal polyps, an inverted papilloma, a pterygopalatine fossa tumor, infratemporal fossa tumors, and maxillary malignancies …”

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confidence: 99%

Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases

Lin

Yeh

2018

Int Forum Allergy Rhinol

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Patients who underwent surgery via the prelacrimal recess approach did so mostly because tumors were present in the maxillary sinuses (12/15; 80%), while most of the patients in this study underwent surgery because of chronic inflammation (122/177; 68.9%) and fungal infections (40/177; 22.6%). Among 15 patients undergoing surgery via the prelacrimal recess approach, 9 were cases of inverted papilloma. The mean follow-up period was 16.5 months (range, 6 to 28 months). No postoperative complications occurred after the prelacrimal recess approach. One out of the 15 cases undergoing the prelacrimal recess approach had tumor recurrence CONCLUSION: Most chronic inflammation and fungal infections of the unilateral maxillary sinuses can be managed through a middle meatal antrostomy. The endoscopic prelacrimal recess approach is a reliable and effective method used to approach maxillary sinus diseases.

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“…[9][10][11] Este abordaje se ha reportado para remover pólipos antrocoanales, papilomas invertidos, tumores de la fosa pterigopalatina y de la fosa infratemporal, lo que asegura una buena exploración y fácil acceso al origen. 5,12 también se ha reportado para resección de tumores malignos del maxilar en estadios tempranos, cuando se combina con radioterapia pre o postoperatoria. 13 Para realizar el abordaje del receso prelagrimal con éxito es de suma importancia que se tenga conocimiento completo de la anatomía de la nariz y los senos paranasales, puntualizando la pared lateral nasal, así como la realización y análisis de estudios de imagen prequirúrgicos.…”

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Abordaje endoscópico endonasal del receso prelagrimal: serie de casos

Ana¹,

Núñez²,

Magdaleno³

2019

Anales Médicos De La Asociación Médica Del Centro Médico ABC

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Introduction: The endoscopic endonasal approach of the prelacrimal recess for the maxillary sinus is a wide access to the walls and recesses of the same, its use has been increasing due to the low morbidity. Objective: To share our experience in the endonasal endoscopic approach of prelacrimal recess, retrospectively analyze the cases performed, evaluating followup time, recurrence, complications, type of lesion and area of implantation. Material and methods: We retrospectively reviewed the clinical record of the patients who underwent endoscopic surgery due to the approach of the prelacrimal recess from January 2015 to January 2019. results: Six patients underwent surgery for endoscopic surgery for the approach of prelacrimal recess, five were cases of inverted nasal papilloma and one for fibrous dysplasia, all six with an average follow-up of 14.5 months (range of 12 to 18 months). None presented complications, with no evidence of recurrence so far. conclusions: The endonasal endoscopic approach to prelacrimal recess is a reliable and effective procedure used to address maxillary sinus lesions with minimal complications and good results.

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Transnasal Prelacrimal Recess Approach for Recurrent Antrachoanal Polyp

Abstract: In experienced hands, TPRA is a novel, reliable, and useful method for the treatment of recurrent antrochoanal polyps. It ensures good exploration of the maxillary antrum and easy access to the polyp origin on the maxillary wall without the need of additional approaches.

Cited by 25 publications

References 17 publications

A comparison of two endoscopic techniques for the treatment of antrochoanal polyps

A comparison of two endoscopic techniques for the treatment of antrochoanal polyps

Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases

Abordaje endoscópico endonasal del receso prelagrimal: serie de casos

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