Preservation or removal of the lateral nasal wall in endoscopic management of maxillary sinus neoplasia: a comparison of approach related morbidity

Mickey Kondo*, Kachorn Seresirikachorn, Joao P. M. C. Gomes, Eugene Wong, Lu Hui Png, Larry Kalish, Raymond Sacks, Richard J. Harvey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The endoscopic modified medial maxillectomy (MMM) and prelacrimal approach (PLA) are two routinely performed endoscopic approaches to the maxillary sinus when access via a middle meatal antrostomy is insufficient. However, there is no data in the literature that has compared outcomes and complication profile between the two procedures to determine which approach is superior. Objective: To compare the approach related morbidity of PLA and MMM. Methods: A retrospective cohort study of all consecutive adult patients undergoing either MMM or PLA from 2009 to 2023 were identified. The primary outcome was development of epistaxis, paraesthesia, lacrimal injury, iatrogenic sinus dysfunction within a minimum of 3 months post-operative follow up. Results: 39 patients (44 sides) underwent PLA and 96 (96 sides) underwent MMM. There were no statistically significant differences between the rates of paraesthesia (9.1 % vs 14.6 %, p = 0.367) or prolonged paraesthesia (2.3 % vs 5.2 %, p = 0.426), iatrogenic maxillary sinus dysfunction (2.3 % vs 5.2 %, p = 0.426) or adhesions requiring removal (4.5 % vs 4.2 %, p = 0.918). No cases of epiphora or nasal cavity stenosis occurred in either arm in our study. Conclusions: According to our data, the endoscopic modified medial maxillectomy and prelacrimal approach are both equally safe approaches with their own benefits to access.

Original languageEnglish
Article number104314
Pages (from-to)1-6
Number of pages6
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume45
Issue number4
Early online date22 Apr 2024
DOIs
Publication statusE-pub ahead of print - 22 Apr 2024

Keywords

  • Approach-related morbidity
  • Endoscopic endonasal surgery
  • Endoscopic nasal and sinus surgery
  • Maxillary sinus
  • Minimally invasive surgery
  • Modified medial Maxillectomy
  • Paraesthesia
  • Prelacrimal approach
  • Sinonasal neoplasia
  • Sinonasal tumour

Fingerprint

Dive into the research topics of 'Preservation or removal of the lateral nasal wall in endoscopic management of maxillary sinus neoplasia: a comparison of approach related morbidity'. Together they form a unique fingerprint.

Cite this