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Medial maxillectomy in recalcitrant sinusitis: when, why and how?
Iordanis Konstantinidis1, Jannis Constantinidis
12nd Academic ORL Department, Aristotle University, Papageorgiou Hospital, Thessaloniki, Greece.
Current Opinion in Otolaryngology & Head and Neck Surgery
|November 16, 2013
Summary
Endoscopic medial maxillectomy is an effective extended endoscopic procedure for recalcitrant chronic maxillary sinusitis. This technique offers improved sinus drainage and access for managing complex cases unresponsive to simpler treatments.
Area of Science:
- Otolaryngology
- Rhinology
- Endoscopic Sinus Surgery
Background:
- Recalcitrant chronic maxillary sinusitis often requires advanced surgical intervention beyond standard procedures.
- Middle meatal antrostomy has limitations in achieving complete disease control in persistent cases.
Purpose of the Study:
- To review indications, pathophysiology, and surgical techniques for endoscopic medial maxillectomy.
- To present endoscopic medial maxillectomy as an option for difficult maxillary sinus disease.
Main Methods:
- Comprehensive review of journal articles on endoscopic medial maxillectomy.
- Analysis of indications, surgical approaches, and outcomes for recalcitrant sinusitis.
Main Results:
- Endoscopic medial maxillectomy provides a wider surgical field and better access to challenging sinus areas.
- This procedure facilitates improved sinus drainage, irrigation, medication delivery, and follow-up inspection.
Conclusions:
- Endoscopic medial maxillectomy is indicated for recurrent sinusitis due to factors like prior surgery, cystic fibrosis, mucoceles, fungal sinusitis, or infections.
- Modifications allow preservation of anatomical structures such as the anterior buttress, nasolacrimal duct, and inferior turbinate.
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