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Posterior translacrimal approach to the maxillary sinus

  • D Dönmez (a1), E Giotakis (a1), W G Hosemann (a2), T S Kühnel (a3), B Hirt (a4) and R K Weber (a1) (a5)...
Abstract Background:

This study aimed to compare the view into the maxillary sinus using the posterior translacrimal approach compared with grade 3 antrostomy.


Grade 3 antrostomy followed by a posterior translacrimal approach was performed on four cadavers. The maximum intramaxillary view was documented endoscopically guided by electromagnetic navigation. Representative screenshots were evaluated in a blinded manner by three independent sinus surgeons. In addition, a prospective investigation of specific complications in the post-operative course of consecutive patients was performed.


In the cadaver study, the posterior translacrimal approach provided a significantly better view into the maxillary sinus compared with grade 3 antrostomy. In the clinical study, only 1 out of 20 patients reported on a minor problem with lacrimal drainage at 6 months.


The posterior translacrimal approach to visualising the maxillary sinus should be considered a strong alternative to more radical techniques.

Corresponding author
Address for correspondence: Dr D Dönmez, Department of Otorhinolaryngology, Municipal Hospital of Karlsruhe, Moltkestraße 90 D- 76133 Karlsruhe, Germany Fax: +49 721 974 2509 E-mail:
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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