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Modified Transseptal Approach: An Adjunct to Prelacrimal Recess Approach for Extensive Inverted Papilloma of
George Varghese1, Roshan Marie Thomas1
1Department of ENT, GV ENT Clinic, Kerala, India.
Journal of Rhinology : Official Journal of the Korean Rhinologic Society
|December 12, 2024
Summary
A modified transseptal approach offers improved access to the maxillary sinus for tumor resection, particularly for challenging cases like inverted papilloma. This technique ensures complete tumor removal with minimal complications.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Rhinology
Background:
- The transseptal approach is utilized for extensive nasal and paranasal sinus tumor resection.
- Previous surgeries can complicate access to the maxillary sinus.
Observation:
- A modified transseptal approach was employed in a patient with recurrent inverted papilloma.
- The technique involves a hemitransfixation incision in the contralateral nasal cavity.
Findings:
- This modified approach provided complete access to the maxillary sinus, including the anterior wall.
- The technique ensured adequate reach for complete tumor removal with angled instruments.
- Postoperative outcomes showed no septal scarring or perforation, and no recurrence of the lesion.
Implications:
- This modification enhances the transseptal approach for accessing difficult-to-reach maxillary sinus areas.
- The technique offers a valuable tool for tumor resection with reduced patient morbidity.
- It represents an accessible modification for improving surgical outcomes in sinonasal tumor treatment.
