User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

Endoscopic endonasal medial maxillectomy: case series

Primary tabs

download
  • Open access
  • PDF
  • 270.21 K
Eloy, Philippe [UCL] Mardyla, Nicolas [UCL] Bertrand, Bernard [UCL] Rombaux, Philippe [UCL]

INTRODUCTION: A medial maxillectomy (MM) consists of a complete resection of the medial wall of the maxillary sinus. Traditionally the surgery is performed via an open approach. With more familiarity and expertise in endoscopic sinus surgery the endonasal approach is feasible. OBJECTIVE: To expose the surgical technique and report the results of endonasal endoscopic MM in a series of 6 consecutive patients. MATERIALS AND METHODS: Between August 2006 and October 2009, 6 patients were operated with this procedure. All were men. The mean age was 62-year-old (range: 43-83). In 5 cases, the surgery was performed for inverted papillomas confined to the maxillary sinus. In one case it was a primary surgery whereas it was a revision surgery for the others. The sixth patient was operated for a solitary extramedullary plasmocytoma inserted on the intersinonasal wall persistent after an external radiation therapy. RESULTS: All the patients are free of disease at the time of writing with a mean follow-up of 18,2 months (range: 9-38). This has been confirmed by a nasal endoscopy and CT scans. There were no major per or postoperative complications. Patients suffered from crusting for at least 6 months postoperatively necessitating daily nasal douches. One patient is still complaining of intermittent epiphora when he is exposed to wind. CONCLUSION: Endoscopic MM can be successfully performed for the resection of expanding processes involving the maxillary sinus and/or the intersinonasal wall. Compared to open approaches, it seems to be as effective with less postoperative morbidity. An important technical point is to do the anterior osteotomy in front of the nasolacrimal duct in order to expose the prelacrimal recess that is typically an area for possible recurrence. Exact determination of the tumor attachment during the surgery is another key point for success.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2010
Language Anglais
Journal information "Indian Journal of Otolaryngology and Head and Neck Surgery" - Vol. 62, no.3, p. 252-257 (2010)
Peer reviewed yes
Publisher Springer (India) Private Ltd. ((India) New Delhi)
issn 2231-3796
e-issn 0973-7707
Publication status Publié
Affiliations UCL - SSS/IREC/LUNS - Pôle pneumologie, ORL (airways) et dermatologie (skin)
UCL - (MGD) Service d'oto-rhino-laryngologie
UCL - SSS/IONS/NEUR - Clinical Neuroscience
UCL - (SLuc) Service d'oto-rhino-laryngologie
Links
  1. Tanna N, Edwards JD, Aghdam H, Sadeghi N (2007) Maxillectomy as the initial oncologic approach to sinonasal neoplasms: the anatomic basis. Arch Otolaryngol Head Neck Surg 133(11):1139–1142
  2. Rhinologic and Sleep Apnea Surgical Techniques, ISBN:9783540340195, 10.1007/978-3-540-34020-1
  3. Bielamowicz S, Calcaterra TC, Watson D (1993) Inverting papilloma of the head and neck: the UCLA update. Otolaryngol Head Neck Surg 109(1):71–76
  4. Phillips P. Perry, Gustafson Ray O., Facer George W., The Clinical Behavior of Inverting Papilloma of the Nose and Paranasal Sinuses : Report of 112 Cases and Review of the Literature, 10.1288/00005537-199005000-00004
  5. Myers EN, Fernau JL, Johnson JT, Tabet JC, Barnes EL (1990) Management of inverted papilloma. Laryngoscope 100:481–490
  6. Han JK, Smith TL, Loehrl T, Toohill RJ, Smith MM (2001) An evolution in the management of sinonasal inverting papilloma. Laryngoscope 111(8):1395–1400
  7. Wormald PJ, Ooi E, van Hasselt CA, Nair S (2003) Endoscopic removal of sinonasal inverted papilloma including medial maxillectomy. Laryngoscope 113(5): 867–873
  8. Kraft M, Simmen D, Kaufmann T, Holzmann D (2003) Long-term results of endonasal sinus surgery in sinonasal papillomas. Laryngoscope 113(9):1541–1547
  9. Sadeghi N, Al-Dhahri S, Manoukian JJ (2003) Transnasal endoscopic medial maxillectomy for inverting papilloma. Laryngoscope 113(4):749–753
  10. Tomenzoli D, Castelnuovo P, Pagella F, Berlucchi M, Pianta L, Delù G, Maroldi R, Nicolai P (2004) Different endoscopic surgical strategies in the management of inverted papilloma of the sinonasal tract: experience with 47 patients. Laryngoscope 114(2):193–200
  11. Krouse JH (2009) Evolution in the management of inverted papilloma. Otolaryngol Head Neck Surg 140(3):336–337
  12. Lane AP (2009) The role of endoscopic sinus surgery in the management osf sinonasal inverted Papilloma. Curr Opin Otolaryngol Head Neck Surg 17(1):6–10
  13. Lawson W, Patel ZM (2009) The evolution of management for inverted papilloma: an analysis of 200 cases. Otolaryngol Head Neck Surg 140(3):330–335
  14. Tsirbas A, Wormald PJ (2003) Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Ophthalmol 87(1):43–47
  15. Booth J. B., Cheesman A. D., Vincenti N. H., Extramedullary Plasmacytomata of the Upper Respiratory Tract, 10.1177/000348947308200515
  16. Castro E. B., Lewis J. S., Strong E. W., Plasmacytoma of Paranasal Sinuses and Nasal Cavity, 10.1001/archotol.1973.00780010336009
  17. KAPADIA SILLOO B., DESAI UMA, CHENG VINCENT S., Extramedullary Plasmacytoma of the Head and Neck : A CLINICOPATHOLOGIC STUDY OF 20 CASES, 10.1097/00005792-198209000-00004
  18. Wax Mark K., Yun K. John, Omar Rawhi A., Extramedullary Plasmacytomas of the Head and Neck, 10.1177/019459989310900517
  19. Liebross RH, Ha CS, Cox JD, Weber D, Delasalle K, Alexanian R (1999) Clinical course of extramedullary plasmacytoma. Radiother Oncol 52(3):245–249
  20. Kaufman MR, Brandwein MS, Lawson W (2002) Sinonasal papillomas: clinicopathologic review of 40 patients with inverted and oncocytc schneiderian papillomas. Laryngoscope 112(8 Pt 1):1372–1377
  21. Eloy P, Bachy V, Grulois V, Bertrand B (2008) Pyocele of the lachrymal sac — a late and unusual complication after surgery for a juvenile nasopharyngeal angiofibroma. Clin Ophthalmol 2(1):211–215
  22. Kalavagunta S, Roy D, Fish B, Jackson S (2002) Blindness following medial maxillectomy. Rhinology 40(4):223–225
  23. Busquet JM, Hwang PH (2006) Endoscopic resection of sinonasal inverted papilloma: a meta-analysis. Otolaryngol Head Neck Surg 134(3):476–482
  24. Bertrand B, Eloy P, Jorissen M, et al. (2000) Surgery of inverted papillomas under endoscopic control. Acta Otolaryngol Belg 542:139–150
  25. Mortuaire G, Arzul E, Darras JA, Chevalier D (2007) Surgical management of sinonasal inverted papillomas through endoscopic approach. Eur Arch Otolaryngol 264(12):1419–1424
  26. Sukenik MA, Casiano R (2000) Endoscopic medial maxillectomy for inverted papilloma of the paranasal sinuses: value of the intraoperative endocopic examination. Laryngocope 110:39–42
  27. Lee TJ, Huang SF, Lee LA, Huang CC (2004) Endoscopic surgery for recurrent inverted papilloma. Laryngoscope 114(1):106–112
Bibliographic reference Eloy, Philippe ; Mardyla, Nicolas ; Bertrand, Bernard ; Rombaux, Philippe. Endoscopic endonasal medial maxillectomy: case series. In: Indian Journal of Otolaryngology and Head and Neck Surgery, Vol. 62, no.3, p. 252-257 (2010)
Permanent URL http://hdl.handle.net/2078.1/124101