Endoscopic modified medial maxillectomy for odontogenic cysts and tumours

Area of Science:

• Oral and Maxillofacial Surgery
• Endoscopic Surgical Techniques
• Head and Neck Oncology

Background:

• Odontogenic maxillary cysts and tumors arise from tooth roots.
• Traditional intraoral approaches have been used for treatment.
• A novel endoscopic technique is explored for improved outcomes.

Purpose of the Study:

• To evaluate the efficacy and utility of endoscopic modified medial maxillectomy (EMMM).
• To assess EMMM as a treatment for odontogenic maxillary cysts and tumors.
• To document the safety and outcomes of this minimally invasive procedure.

Main Methods:

• EMMM was performed under general anesthesia in six patients.
• Patient diagnoses included radicular cysts, dentigerous cysts, and keratocystic odontogenic tumors.
• Surgical technique focused on complete tumor/cyst excision while preserving key anatomical structures.

Main Results:

• Complete excision of cysts and tumors was achieved in all cases.
• The inferior turbinate and nasolacrimal duct were successfully preserved.
• No peri- or postoperative complications or recurrences were observed.

Conclusions:

• Endoscopic modified medial maxillectomy is an effective treatment modality.
• EMMM demonstrates a favorable safety profile for these conditions.
• This technique represents a viable alternative to traditional surgical approaches.