Endonasal Lacrimal Transposition to Expand Pre‐Lacrimal Medial Maxillectomy Approach

Abstract

EPLA lacrimal transposition facilitates management of maxillary sinus/pterygopalatine fossa lesions and overcomes limitations such as the Simmen type I recess or IPMS pedicled on the medial wall, without increasing peri‐operative morbidity. Laryngoscope, 133:2090–2094, 2023

Extended Endoscopic Pre‐Lacrimal Medial Maxillectomy To the Anterior Maxillary Sinus Wall

“…Extended EPLA was performed based on a modification of the technique previously described by our group. 3 A curved incision on the lateral nasal wall mucosa is performed, starting anterior to the lacrimal fossa and the axilla of the middle turbinate, to the nasal floor, passing through the piriform aperture. The flap of the lateral nasal wall, harvested from the mucoperiosteum, is rolled back and placed between the septum and middle turbinate (Fig.…”