Endoscopic Trans-Turbinal Medial Maxillectomy: A Modified Endoscopic Medial Maxillectomy Technique to Preserve the Inferior Turbinate

조기주; 조현진; 주연희; 전영진; 전시영; 김상욱

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자료유형: 학술저널

저자정보: 조기주 (경상대학교 의과대학 이비인후과학교실) 조현진 (경상국립대학교병원) 주연희 (경상국립대학교) 전영진 (경상국립대학교병원) 전시영 (예일이비인후과) 김상욱 (경상국립대학교)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제64권 제12호

발행연도: 2021.12

수록면: 959 - 964 (6page)

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Endoscopic medial maxillectomy (EMM) and its modifications are surgical techniques areused to treat recalcitrant maxillary sinusitis as well as maxillary sinus tumors. In this report,we propose a simple and efficient modification of EMM, called endoscopic trans-turbinal medialmaxillectomy (ETTMM), by which the inferior turbinate (IT), nasolacrimal duct, and anatomicalintegrity of the nasal valve area are preserved. A total of 10 patients (five tumorousand five nontumorous maxillary diseases) underwent ETTMM. Briefly, a turbinate mucosalflap on the superior aspect of the IT was elevated after middle meatal antrostomy. Then atrans-turbinal window was developed to expose the inferior meatus, after which an extendedmaxillary antrostomy was generated. Finally, the turbinate mucosal flap was repositioned aftercomplete removal of the antral lesions. All lesions were successfully treated using ETTMM. Our modification was easy to perform, and we achieved good endoscopic visualizationand accessibility throughout the whole antrum by creating a trans-turbinal window and extendedmaxillary antrostomy. We could perform postoperative surveillance easily through thewide antrostomy using rigid endoscopes of various angles. ETTMM is a simple and usefulmodification of EMM that provides clear visualization and great accessibility to most aspectsof the maxillary antrum while preserving the nasal functional units, including the IT and nasalvalve area.

#Maxillary sinus #Natural orifice endoscopic surgery #Organ preservation #Surgical procedure #Turbinates.

참고문헌 (17)

참고문헌 신청

Stammberger H / 1991 / Functional endoscopic sinus surgery:The Messerklinger technique / B.C. Decker

Lund V / 2007 / Endoscopic resection of malignant tumors of the nose and sinuses / Am J Rhinol 21(1):89~94

Sathananthar S / 2005 / Canine fossa puncture and clearance of the maxillary sinus for the severely diseased maxillary sinus / Laryngoscope 115(6):1026~1029

Hong SK / 2001 / Endoscopic removal of the antral portion of antrochoanal polyp by powered instrumentation / Laryngoscope 111(10):1774~1778

Cho DY / 2008 / Results of endoscopic maxillary megaantrostomy in recalcitrant maxillary sinusitis / Am J Rhinol 22(6):658~662

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