Results of Endoscopic Maxillary Mega-antrostomy in Recalcitrant Maxillary Sinusitis

Cho, Do‐Yeon; Hwang, Peter H.

doi:10.2500/ajr.2008.22.3248

Cited by 94 publications

(107 citation statements)

References 14 publications

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“…1161 On the other hand, clinical studies have shown that a mega-antrostomy for recalcitrant chronic maxillary sinusitis is effective in reducing sinonasal symptomatology, objective endoscopic and radiographic evidence of CRS, and corticosteroid and antibiotic use. 1162,1163 Enlargement of the maxillary ostium may also be associated with decreased NO levels in the maxillary sinus, 1164 but the clinical impact of this decrease remains unknown.…”

Section: Surgical Principles/techinques: Extent Of Surgerymentioning

confidence: 99%

“…1160 The contrasts between conventional ESS and more conservative approaches, such as MIST, have been studied in patients with chronic maxillary sinusitis, and these findings have been interpreted to generally translate to the other paranasal sinuses as well. [1160][1161][1162][1163] MIST and traditional maxillary antrostomy each have their own set of potential advantages and disadvantages. Because MIST involves less manipulation of mucosa and bone, the likelihood for postoperative scar formation in the region of the maxillary ostium may be reduced.…”

Section: Surgical Principles/techinques: Extent Of Surgerymentioning

confidence: 99%

See 1 more Smart Citation

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

Self Cite

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Surgical Principles/techinques: Extent Of Surgerymentioning

confidence: 99%

Section: Surgical Principles/techinques: Extent Of Surgerymentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

Self Cite

557

888

View full text Add to dashboard Cite

show abstract

“…In the era of angled instruments and endoscopes, the advantages of a direct intramaxillary approach via the inferior meatus cannot be overlooked. This is especially true when considering the alternative approaches mentioned, such as the canine fossa approach, mega-antrostomy, or medial maxillectomy [13, 14]. In view of the unfavorable angle for reaching the inaccessible areas of the sinus using the MMA approach, an endoscopic canine fossa approach to the maxillary sinus in severe disease and nasal polyposis has been recently described in detail [15, 16].…”

Section: Discussionmentioning

confidence: 99%

The Rationale for Endoscopic Inferior Meatal Antrostomy

Landsberg

Warman

Margulis

et al. 2019

ORL

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Background: Complete removal of some maxillary sinus pathologies may be challenging. We describe our experience in performing endoscopic inferior meatal antrostomy (EIMA) when approaching certain chronic maxillary sinus disease. Methods: Retrospectively reviewing charts of all patients whose surgery included EIMA between the years 2012 and 2015. EIMA was performed either after routine endoscopic middle meatal antrostomy (EMMA) failed to completely resect the lesion, or as the sole selected approach for specific maxillary pathologies. Results: A total of 56 patients were included in the study. Indications for EIMA included antrochoanal polyps (ACP), maxillary sinus chronic inflammatory disease, maxillary sinus pathology before sinus lift, and odontogenic maxillary sinusitis. In nearly one third of the patients, sinus surgery included only EIMA, of which, the majority were resection of ACP. Follow-up time ranged between 12 and 34 months (mean 14). Residual EIMA opening was variable in size. In the vast majority of our patients, the maxillary sinus cavities were cleared of disease. No major complications and no recirculation were observed in any of the patients. Conclusion: EIMA should be considered for various maxillary sinus pathologies. It provides better access to anteroinferior lesions of the maxillary sinus. EMMA is not mandatory for every maxillary sinus disease.

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“…Преимущества эндоскопической мегаантросто-мии у 42 пациентов с хроническим, упорно протека-ющим верхнечелюстным риносинуситом, часть из которых страдала МВ, были оценены в ретроспек-тивном исследовании [28]. Среди сопутствующих факторов у 16 человек в анамнезе была операция по Колдуэллу-Люку, 11 исследуемых страдали МВ, 11 -бронхиальной астмой, у 3 больных был выяв-лен дефицит иммуноглобулинов класса G. У 74% пациентов было достигнуто полное исчезновение симптомов, у 26% больных отмечено симптоматиче-ское улучшение.…”

Section: хирургическое лечениеunclassified