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Published on: October 13, 2017
A Surgical Variant of the Pre-Lacrimal Approach to the Maxillary Sinus
Andrea Preti1, Mario Turri-Zanoni2, Alberto-Daniele Arosio2
1Department of Medicine and Surgery, Translational and Experimental Medicine Ph. D, University of Insubria, Varese, Italy and Department of Otorhinolaryngology, Multimedica, San Giuseppe Hospital, Milano, Italy.
Introduction:
When dealing with maxillary sinus pathology, some areas of the sinus remain difficult to examine. In this regard, the pre-lacrimal approach is a minimally invasive technique to reach anterolateral areas of the maxillary sinus while preserving the physiological nasal function.
Materials And Methods:
The present study aimed to provide technical hints related to pre-lacrimal approach acquired through a large number of performed procedures.
Results:
According to the results, the mucosa incision was performed more anteriorly than the osteotomy using the proposed surgical variant. Moreover, this procedure prevented post-operative annoying symptoms related to the possible presence of an inferior meatotomy.
Conclusion:
The pre-lacrimal approach to the maxillary sinus should be considered as a part of the surgical armamentarium to address the maxillary sinus.
