2014
DOI: 10.1097/moo.0000000000000009
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Medial maxillectomy in recalcitrant sinusitis

Abstract: Patients with previous limited endoscopic sinus surgery or extended open surgery, cystic fibrosis, extensive mucoceles, allergic fungal sinusitis, odontogenic infections, foreign bodies and so on may suffer from recurrent disease requiring an endoscopic medial maxillectomy. Depending on the disease, various modifications of the procedure can be performed preserving the anterior buttress, nasolacrimal duct and inferior turbinate if possible.

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Cited by 43 publications
(43 citation statements)
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“…4 and 5). Accrual of secretions becomes less frequent, physical debridement of mucus and polypoid edema is easily accomplished in clinic, clearance of mucus is improved, and the cavity has increased access for nasal saline irrigations and topical delivery of therapeutics [74]. In a prospective observational study by the senior author (B.A.W.…”
Section: Discussionmentioning
confidence: 99%
“…4 and 5). Accrual of secretions becomes less frequent, physical debridement of mucus and polypoid edema is easily accomplished in clinic, clearance of mucus is improved, and the cavity has increased access for nasal saline irrigations and topical delivery of therapeutics [74]. In a prospective observational study by the senior author (B.A.W.…”
Section: Discussionmentioning
confidence: 99%
“…10 Recalcitrant maxillary sinusitis is a condition associated with several risk factors, such as impaired mucociliary clearance (eg, cystic fibrosis), previous surgery (eg, Caldwell-Luc or inferior meatal antrostomies), or T helper 2 imbalance. 10 Recalcitrant maxillary sinusitis is a condition associated with several risk factors, such as impaired mucociliary clearance (eg, cystic fibrosis), previous surgery (eg, Caldwell-Luc or inferior meatal antrostomies), or T helper 2 imbalance.…”
Section: Indicationsmentioning
confidence: 99%
“…The most frequent indication for TEPM is chronic rhinosinusitis that has been refractory to medical therapy and previous conservative surgical treatments (eg, standard middle meatal antrostomy). 10 Recalcitrant maxillary sinusitis is a condition associated with several risk factors, such as impaired mucociliary clearance (eg, cystic fibrosis), previous surgery (eg, Caldwell-Luc or inferior meatal antrostomies), or T helper 2 imbalance. 11 Other indications are patients affected by recurrences of massive sinonasal polyposis, allergic fungal sinusitis, or in the presence of biofilm formation with resistant bacteria (eg, Pseudomonas Aeruginosa, multiresistant Staphylococcus Aureus).…”
Section: Indicationsmentioning
confidence: 99%
“…Few recent reviews have been published on odontogenic maxillary sinusitis, focusing especially on symptoms, diagnosis, clinical management, and treatment . However, the microbiological aspect of the OS origin has been less investigated, and there is a lack of published evidence …”
Section: Introductionmentioning
confidence: 99%
“…Few recent reviews have been published on odontogenic maxillary sinusitis, focusing especially on symptoms, diagnosis, clinical management, and treatment. [6][7][8][9] However, the microbiological aspect of the OS origin has been less investigated, and there is a lack of published evidence. 10 Therefore, the aim of the present review was to discuss the most recent pathophysiological findings concerning OS, describing the potential ways of development of such infections.…”
Section: Introductionmentioning
confidence: 99%