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Modified endoscopic medial maxillectomy for chronic maxillary sinusitis.

Bradford A Woodworth1, Ryan O Parker, Rodney J Schlosser

  • 1Department of Otolaryngology-Head and Neck Surgery, 135 Rutledge Avenue, Suite 1130, P.O. Box 250550, Medical University of South Carolina, Charleston, SC 29425, USA. woodwort@musc.edu

American Journal of Rhinology
|July 29, 2006
PubMed
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Modified endoscopic medial maxillectomy (MEMM) offers a safe and effective treatment for chronic maxillary sinusitis unresponsive to other therapies. This endoscopic sinus surgery approach shows promising results for refractory inflammatory sinus disease.

Area of Science:

  • Otolaryngology
  • Endoscopic Sinus Surgery
  • Rhinology

Background:

  • Modified endoscopic medial maxillectomy (MEMM) is an emerging technique for sinonasal neoplasms.
  • Limited data exists on MEMM's efficacy for inflammatory maxillary sinus disease.
  • This study assesses MEMM for chronic maxillary sinusitis.

Purpose of the Study:

  • To evaluate the effectiveness of modified endoscopic medial maxillectomy (MEMM) in treating chronic maxillary sinusitis.
  • To determine the safety and outcomes of MEMM in patients refractory to prior treatments.

Main Methods:

  • Retrospective review of patients undergoing MEMM for refractory chronic maxillary sinusitis (December 2002 - September 2004).
  • Patients received MEMM as a standalone procedure or part of endoscopic sinus surgery.

Related Experiment Videos

  • Data collected included demographics, operative details, and postoperative follow-up.

    • Main Results:

    • Twenty-four MEMMs were performed on 19 patients (average age 57) with chronic maxillary sinusitis refractory to middle meatal antrostomy.
    • All patients had failed previous sinus surgeries, including 14 Caldwell-Luc procedures.
    • Average follow-up was 19.5 months; one patient had persistent sinusitis, and one nasolacrimal duct injury occurred.

    Conclusions:

    • Modified endoscopic medial maxillectomy (MEMM) is a safe and effective treatment option.
    • MEMM is suitable for chronic maxillary sinusitis refractory to medical and standard endoscopic surgical management.