Related Experiment Video
Updated: Mar 9, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
18.2K
Transnasal endoscopic partial maxillectomy: Operative nuances and proposal for a comprehensive classification system
Mario Turri-Zanoni1,2, Paolo Battaglia1,2, Apostolos Karligkiotis1
1Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Head & Neck
|December 30, 2016
Summary
Transnasal endoscopic partial maxillectomy (TEPM) offers a stepwise approach to access difficult maxillary sinus areas and skull base lesions. This technique provides tailored access for various sinonasal and skull base pathologies with minimal patient morbidity.
Area of Science:
- Otolaryngology
- Neurosurgery
- Endoscopic Sinus Surgery
Background:
- Standard endoscopic endonasal surgery has limitations in accessing certain maxillary sinus regions.
- Deep-seated skull base lesions often require expanded surgical approaches.
Purpose of the Study:
- To evaluate the utility and outcomes of transnasal endoscopic partial maxillectomy (TEPM).
- To classify TEPM based on anatomical structures and provided access.
Main Methods:
- Retrospective review of 1378 patients who underwent TEPM between 2000 and 2014.
- Classification of TEPM into 5 types based on progressively removed anatomical structures.
Main Results:
- TEPM was performed for inflammatory diseases (37%), benign sinonasal tumors (31%), skull base malignancies (21%), and as a corridor for deep-seated lesions (11%).
- The procedure was successfully applied in 1378 patients.
Conclusions:
- Transnasal endoscopic partial maxillectomy (TEPM) is a versatile, stepwise approach.
- TEPM provides tailored access for diverse maxillary, sinonasal, and skull base pathologies.
- TEPM is associated with minimal patient morbidity.
