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The displacement technique: a simple method for clearing maxillary sinus stubborn mucus.

Shireen Samargandy1, Daniel J Lee1, John M Lee2,3

  • 1Division of Rhinology, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|May 20, 2021
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Clearing stubborn maxillary sinus secretions during endoscopic sinus surgery is simplified with the Displacement Technique. This method effectively removes thick secretions, reducing operative time.

Keywords:
ClearanceFungus ballMucusSurgical technique

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Area of Science:

  • Otolaryngology
  • Surgical Techniques

Background:

  • Clearing thick secretions from the maxillary sinus presents a surgical challenge.
  • Difficult secretions can prolong operative time in endoscopic sinus surgery.

Purpose of the Study:

  • To introduce a user-friendly technique for managing challenging maxillary sinus secretions.
  • To present the Displacement Technique for endoscopic sinus surgery.

Main Methods:

  • The Displacement Technique involves creating a wide maxillary antrostomy.
  • A surgical pledget is used to displace secretions into the nasal cavity via suction.
  • The technique is suitable when orbital floor dehiscence is absent.

Main Results:

  • The Displacement Technique effectively clears inspissated content from the maxillary sinus.
  • This method simplifies the removal of stubborn secretions.

Conclusions:

  • The Displacement Technique offers a simple and cost-effective solution for recalcitrant sinus secretions.
  • It is a valuable addition to endoscopic sinus surgery armamentarium.