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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Endoscopic nasal lateral wall dissection approach to maxillary sinus]
Bing Zhou1, De-min Han, Shun-jiu Cui
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to the Capital Medical University, Beijing 100730, China.
Summary
Endoscopic nasal lateral wall dissection (ENLWD) offers a new, minimally invasive approach for maxillary sinus lesions. This technique preserves the nasolacrimal duct and inferior turbinate, achieving thorough lesion removal with good outcomes.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
Context:
- Maxillary sinus (MS) pathologies often require surgical intervention.
- Traditional approaches may involve ablation of critical structures like the nasolacrimal duct (LD) and inferior turbinate (IT).
Purpose:
- To introduce and evaluate a novel endoscopic nasal lateral wall dissection (ENLWD) technique for MS lesions.
- To assess the preliminary clinical outcomes, operative technique, and indications for ENLWD.
Summary:
- ENLWD involves creating an inferior turbinate-lacrimal duct (IT-LD) flap for access to MS lesions.
- This technique was applied to 10 patients with conditions including inverted papilloma and nasal polyps.
- Postoperative follow-up demonstrated thorough lesion removal, preservation of the IT and LD, and minimal complications.
Impact:
- ENLWD provides a minimally invasive alternative for MS treatment.
- The technique avoids ablation of the nasolacrimal duct and inferior turbinate, potentially reducing morbidity.
- This approach may be applicable to lesions in the orbital floor and pterygopalatine fossa.
