Minimally invasive transnasal medial maxillectomy for treatment of maxillary sinus and orbital pathologies

Sieśkiewicz, Andrzej; Piszczatowski, Bartosz; Olszewska, Ewa; Łukasiewicz, Adam; Tarasów, Eugeniusz; Rogowski, Marek

doi:10.3109/00016489.2013.857786

Cited by 8 publications

(8 citation statements)

References 19 publications

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“…Bei anderen Varianten der medialen Maxillektomie wird der Ductus nasolacrimalis erhalten [293,296]. Der prälacrimale Zugang zur Kieferhöhle [297][298][299][300][301] Eine maximale Erweiterung der Kieferhöhlenfensterung über den mittleren Nasengang erfordert in den meisten Fällen die Eröffnung der Bulla ethmoidalis. Dies ist Teil der vorderen Siebbeinoperation.…”

Section: Mediale Maxillektomieunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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Endonasal endoscopic sinus surgery is the standard procedure for surgery of most paranasal sinus diseases.Appropriate frame conditions provided, the respective procedures are safe and successful.These prerequisites encompass appropriate technical equipment, anatomical oriented surgical technique, proper patient selection, and individually adapted extent of surgery.The range of endonasal sinus operations has dramatically increased during the last 20 years and reaches from partial uncinectomy to pansinusoperation with extended surgery of the frontal (Draf type III), maxillary (grade 3-4, medial maxillectomy, prelacrimal approach) and sphenoid sinus.In addition there are operations outside and beyond the paranasal sinuses. The development of surgical technique is still constantly evolving.This article gives a comprehensive review on the most recent state of the art in endoscopic sinus surgery according to the literature with the following aspects: principles and fundamentals, surgical techniques, indications, outcome, postoperative care, nasal packing and stents, technical equipment.

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Section: Mediale Maxillektomieunclassified

Aktueller Stand der endonasalen Nasennebenhöhlenchirurgie

Weber

2015

Laryngo-Rhino-Otol

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“…There were a total of 6 studies that met eligibility criteria and were included into the study (Figure 1). 5,7,[10][11][12][13] Across these studies, a total of 255 patients underwent expanded surgery with EMMM for chronic maxillary sinusitis, with follow-up ranging from 12 months to 82.8 months. Of the articles included in this review, 2 articles contained Level 2B evidence (well-designed cohort study), 5,7 and 4 contained Level 4 evidence (poorly designed cohort studies) based on Oxford Center for Evidence-based medicine Levels of Evidence.…”

Section: Included Studiesmentioning

confidence: 99%

“…Of the articles included in this review, 2 articles contained Level 2B evidence (well-designed cohort study), 5,7 and 4 contained Level 4 evidence (poorly designed cohort studies) based on Oxford Center for Evidence-based medicine Levels of Evidence. [10][11][12][13][14] One study reported entirely on cystic fibrosis (CF) patients with CRS, and the other 5 reported on non-CF CRS patients. 7 A summary of the included articles can be found in Tables 1 and 2.…”

Section: Included Studiesmentioning

confidence: 99%

“…5 Sieskiewicz et al reported a sample size of 22 patients with follow-up of 12þ months, with 60% of patients having complete relief of symptoms and 40% with partial relief. 10 Wang et al found that in 46 patients with a follow-up period of 35 months, complete resolution of disease was achieved in 80%. 13 SNOT-22 score was evaluated in 2 studies.…”

Section: Patient-reported Outcomes Metricsmentioning

confidence: 99%

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Treatment of Recalcitrant Maxillary Sinusitis With Endoscopic Modified Medial Maxillectomy: A Systematic Review of Safety and Efficacy

Loftus

Yoo

Desiato

et al. 2019

Am J Rhinol�Allergy

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Background Endoscopic sinus surgery is an effective treatment option for patients with chronic rhinosinusitis (CRS), although approximately 20% of patients fail to improve with standard surgical procedures. Expanded procedures such as the endoscopic modified medial maxillectomy (EMMM) have been described in management of refractory maxillary sinusitis. Objective This study aims to review the current literature on the safety and efficacy of the EMMM for treatment of refractory maxillary sinusitis. Methods A literature search was performed of PubMed, Ovid, and Cochrane databases according to the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. English-language articles evaluating the EMMM procedure on patients with recalcitrant maxillary sinusitis were included. Full-text articles were obtained and evaluated by 2 reviewers independently, with a third reviewer for mediation of disagreements. Results Six studies met eligibility criteria and were included into the study, with follow-up ranging from 12 to 82.8 months. Two studies contained Level 2 evidence and 4 studies contained Level 4 evidence. EMMM was found to be effective in CRS and cystic fibrosis-related CRS (0% and 9.1% revision rate, respectively). Symptom resolution was noted 60% to 80% of patients. Four studies reported complications, with a total of 4 complications out of 211 patients. Conclusions There are no high-quality Level 1 studies evaluating the efficacy and safety of the EMMM procedure. Level 2 to Level 4 studies indicate that this procedure is relatively safe with a low complication rate and symptom resolution in up to 80% of patients with recalcitrant maxillary sinusitis.

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“…The pre-lacrimal approach to the maxillary sinus [ 301 ], [ 302 ], [ 303 ], [ 304 ], [ 305 ] allows both, a complete overview of the whole maxillary sinus, including the pre-lacrimal recess and all other recesses (applying optics with angled views and also angled instruments) together with the preservation of the inferior turbinate and the nasolacrimal duct (Figure 2 (Fig. 2) ).…”

Section: Type and Technique Of Endonasal Sinus Surgerymentioning

confidence: 99%