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Modified endoscopic medial maxillectomy for recalcitrant chronic maxillary sinusitis.
Eric W Wang1, Jessica L Gullung, Rodney J Schlosser
1Department of Otorhinolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC 29425–5500, USA. wange@musc.edu
International Forum of Allergy & Rhinology
|December 7, 2011
Summary
Modified endoscopic medial maxillectomy (MEMM) effectively treats chronic maxillary sinusitis. This procedure offers a good alternative for patients refractory to standard treatments, though certain bacterial cultures may impact outcomes.
Area of Science:
- Otolaryngology
- Rhinology
- Endoscopic Sinus Surgery
Background:
- Modified endoscopic medial maxillectomy (MEMM) is established for sinonasal neoplasms.
- Its efficacy for chronic maxillary sinusitis requires further investigation.
Purpose of the Study:
- Evaluate MEMM for chronic maxillary sinusitis.
- Identify factors predicting treatment failure.
Main Methods:
- Retrospective chart review of 46 patients (61 MEMMs) for chronic maxillary sinusitis (2003-2010).
- Collected data included demographics, prior therapies, and microbial cultures.
Main Results:
- 80% (37/46) achieved complete disease resolution.
- Negative cultures yielded 90% resolution; P. aeruginosa and S. aureus were associated with lower success rates (75% and 56%, respectively).
- 73% of patients with prior Caldwell-Luc procedures were successfully treated; no revision surgeries were needed.
Conclusions:
- MEMM is effective for chronic maxillary sinusitis refractory to medical and standard endoscopic treatments.
- Positive cultures for P. aeruginosa and S. aureus may correlate with poorer outcomes.
