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'Medial maxillectomy' for lateral nasal wall neoplasms
1Department of Otolaryngology and Communicative Sciences, Medical University of South Carolina.
Archives of Otolaryngology--Head & Neck Surgery
|July 1, 1991
Summary
Lateral rhinotomy with medial maxillectomy is effective for lateral nasal wall tumors. Recurrence rates were low (9% benign, 15% malignant), especially with radiotherapy for malignant neoplasms.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Lateral nasal wall tumors require surgical intervention.
- Medial maxillectomy, combined with lateral rhinotomy, is a proposed surgical technique.
Purpose of the Study:
- To evaluate the efficacy and outcomes of lateral rhinotomy with medial maxillectomy for lateral nasal wall neoplasms.
- To report recurrence rates and complications associated with this surgical approach.
Main Methods:
- Retrospective review of 41 patients with lateral nasal wall neoplasms.
- 35 patients were followed for a median of 57 months postoperatively.
- Analysis of tumor recurrence and postoperative complications.
Main Results:
- Low recurrence rates: 9% for benign tumors and 15% for malignant neoplasms.
- Malignant neoplasm recurrence occurred only in patients not receiving postoperative radiotherapy.
- Common complications included cavity crusting, epicanthal scarring, and epiphora.
Conclusions:
- Lateral rhinotomy and medial maxillectomy demonstrate favorable outcomes for lateral nasal wall neoplasms.
- Postoperative radiotherapy is crucial for improving outcomes in malignant neoplasm cases.
- The procedure is associated with manageable complications.