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Canine fossa puncture in endoscopic sinus surgery: report of two cases
Federico Sireci1, Matteo Nicolotti2, Paolo Battaglia3
1University of Palermo, Department of Experimental Biomedicine and Clinical Neurosciences (BioNeC), Otorhinolaryngology Section, Palermo, Italy.
Introduction:
Chronic rhinosinusitis with nasal polyposis is a common chronic disease that often affects maxillary sinus. Endoscopic sinus surgery is the most common procedure for treating the majority of maxillary sinus lesions.
Objective:
To demonstrate the role of canine fossa puncture during endoscopic sinus surgery procedure in patients with severe maxillary sinus disease.
Methods:
We present 2 cases where canine fossa puncture has been performed as method to obtain a complete access to the maxillary antrum.
Results:
According our experience, 2 cases on 296 endoscopic sinus surgery (0.6%) where antrostomy and used of angled microdebrider were not sufficient, canine fossa puncture has been performed as an alternative method to obtain a complete access to the maxillary antrum.
Conclusion:
Although the advent of endoscopic sinus surgery, our cases support the fact that actually canine fossa puncture is a minimally invasive technique useful in selected cases.