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Transnasal endoscopic medial maxillectomy for inverting papilloma
Nader Sadeghi1, Saleh Al-Dhahri, John J Manoukian
1Division of Otolarynology, George Washington University, Wahington DC 20037, USA. nsadeghi@mfa.gwu.edu
The Laryngoscope
|April 3, 2003
Summary
Transnasal endoscopic medial maxillectomy offers an effective surgical approach for inverting papilloma, demonstrating reduced operative time and improved pathological mapping compared to open procedures.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
- Oncology
Background:
- Inverting papilloma is a benign but locally aggressive tumor.
- Medial maxillectomy is a surgical option for extensive sinonasal tumors.
- Transnasal endoscopic approaches offer minimally invasive alternatives.
Purpose of the Study:
- To describe and evaluate a novel transnasal endoscopic medial maxillectomy technique.
- To compare this technique with traditional open medial maxillectomy.
Main Methods:
- A new transnasal endoscopic medial maxillectomy technique was applied to five patients.
- A retrospective review compared these patients to five who underwent open medial maxillectomy.
- Outcomes assessed included scope of resection, margin control, operative time, and surgical access.
Main Results:
- Transnasal endoscopic medial maxillectomy resulted in shorter operative times.
- All endoscopic procedures yielded large, well-oriented specimens with clear margins.
- No recurrence was observed in either the endoscopic or open groups.
Conclusions:
- Transnasal endoscopic medial maxillectomy provides excellent access to the maxillary and ethmoid sinuses.
- This technique is effective and reproducible, with potential advantages in operative time, morbidity, and pathological assessment.
- Maxillary sinus involvement does not preclude its use for selected cases of inverting papilloma.