Prelacrimal approach vs conventional surgery for inverted papilloma in the maxillary sinus

Abstract

Background: The prelacrimal approach, termed endoscopic modified medial maxillectomy (EMMM), has recently been applied for treatment of inverted papilloma (IP) in the maxillary sinus. EMMM provides wider access to the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct. Methods: We reviewed patients with IP in the maxillary sinus to compare the surgical results obtained by conventional surgery (ie, endoscopic maxillary sinus antrostomy or in combination with the Caldwell-Luc approach) with those obtained by EMMM. Results: All patients had a T3 on the Krouse staging system, and the average follow-up time was 46.0 months. Of the 18 patients in the conventional group, recurrence was seen in 3 patients (16.6%). No recurrence was seen in the 27 patients who showed preservation of the inferior turbinate and nasolacrimal duct, and no complications occurred in the EMMM group. Conclusions: EMMM is an effective surgical approach that reduces recurrence with fewer complications.

Effectiveness of the Endoscopic Prelacrimal Recess Approach for Maxillary Sinus Inverted Papilloma Removal: A Systematic Review and Meta-Analysis

“…Moreover, surgical morbidity after resection of inverted papillomas using the EPLRA was low in previous reports. 1,7,13,22 . Persistent nasal crusting and epiphora were not observed in the studies included in our meta-analysis.…”

Gender-specific differences in feasibility of pre-lacrimal window approach

“…In a recent study, the PLWA was compared to conventional methods (traditional endoscopic, open and combined) with regard to treatment results of surgically resected inverted papillomas within the maxillary sinus. No recurrence was found in the PLWA group, while conventional methods yielded a 16% recurrence rate 13 . Tran et al 14 reported a case series of surgically treated maxillary sinus hemangiomas via PLWA.…”

Antero-medial maxillary sinus angle is an additional predictive factor for enhanced visibility during pre-lacrimal window approach

“…A recent study compared the PLWA against conventional approaches (traditional endoscopic, open and combined) in treatment outcomes of surgically resected inverted papilloma (IP) within the maxillary sinus. The authors found no recurrences in the PLWA group whereas conventional surgery resulted in a 16% recurrence rate -all located in the alveolar recess (4) . Hildenbrand et al (5) evaluated the long-term outcome of maxillary sinus IP, treated via PLWA, and observed no recurrences after a median follow-up period of 3.8 years.…”

“…Hildenbrand et al (5) evaluated the long-term outcome of maxillary sinus IP, treated via PLWA, and observed no recurrences after a median follow-up period of 3.8 years. A series of studies have concluded that the PLWA is a safe and effective endoscopic treatment of various diseases within the maxillary sinus, including benign and malignant pathologies (4)(5)(6)(7)(8) .…”