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Extended endoscopic approaches to the maxillary sinus

Published online by Cambridge University Press:  08 June 2020

A Ashman ,
A J Psaltis ,
P J Wormald  and
N C-W Tan
A Ashman
Affiliation:
Department of Otolaryngology, Oxford University Hospitals, UK
A J Psaltis
Affiliation:
Department of Otolaryngology, University of Adelaide and Queen Elizabeth Hospital, Adelaide, Australia
P J Wormald
Affiliation:
Department of Otolaryngology, University of Adelaide and Queen Elizabeth Hospital, Adelaide, Australia
N C-W Tan*
Affiliation:
Department of Otolaryngology, Royal Cornwall Hospital, Truro, UK
*
Author for correspondence: Mr Neil C-W Tan, Department of Otolaryngology, Royal Cornwall Hospital, Treliske, Truro TR1 3LQ, UK E-mail: n.tan@exeter.ac.uk
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Abstract

Objectives

Treatment of inflammatory and neoplastic disease in the maxillary sinus, pterygopalatine and infratemporal fossae requires appropriate surgical exposure. As modern rhinology evolves, so do the techniques available. This paper reviews extended endoscopic approaches to the maxillary sinus and the evidence supporting each technique.

Methods

A literature search of the Ovid Medline and PubMed databases was performed using appropriate key words relating to endoscopic approaches to the maxillary sinus.

Results

Mega-antrostomy and medial maxillectomy have a role in the surgical treatment of refractory inflammatory disease and sinonasal neoplasms. The pre-lacrimal fossa approach provides excellent access but can be limited because of anatomical variations. Both the transseptal and endoscopic Denker's approaches were reviewed; these appear to be associated with morbidity, without any significant increase in exposure over the afore-described approaches.

Conclusion

A range of extended endoscopic approaches to the maxillary sinus exist, each with its own anatomical limitations and potential complications.

Keywords

Endoscopic Surgical ProcedureMinimally Invasive SurgeryMaxillary SinusOtorhinolaryngologyParanasal Sinus Diseases

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 6 , June 2020 , pp. 473 - 480
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr N C-W Tan takes responsibility for the integrity of the content of the paper

References

Goudakos, JK, Blioskas, S, Nikolaou, A, Vlachtsis, K, Karkos, P, Markou, KD. Endoscopic resection of sinonasal inverted papilloma: systematic review and meta-analysis. Am J Rhinol Allergy 2018;32:167–74CrossRefGoogle ScholarPubMed
Wagenmann, M, Naclerio, RM. Anatomic and physiologic considerations in sinusitis. J Allergy Clin Immunol 1992;90:419–23CrossRefGoogle ScholarPubMed
Nunez-Castruita, A, Lopez-Serna, N, Guzman-Lopez, S. Prenatal development of the maxillary sinus: a perspective for paranasal sinus surgery. Otolaryngol Head Neck Surg 2012;146:997–1003CrossRefGoogle ScholarPubMed
Lorkiewicz-Muszynska, D, Kociemba, W, Rewekant, A, Sroka, A, Jonczyk-Potoczna, K, Patelska-Banaszewska, M et al. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. Int J Pediatr Otorhinolaryngol 2015;79:1393–400CrossRefGoogle ScholarPubMed
Gosau, M, Rink, D, Driemel, O, Draenert, FG. Maxillary sinus anatomy: a cadaveric study with clinical implications. Anat Rec (Hoboken) 2009;292:352–4CrossRefGoogle ScholarPubMed
Yenigun, A, Fazliogullari, Z, Gun, C, Uysal, II, Nayman, A, Karabulut, AK. The effect of the presence of the accessory maxillary ostium on the maxillary sinus. Eur Arch Otorhinolaryngol 2016;273:4315–19CrossRefGoogle ScholarPubMed
Parsons, DS, Stivers, FE, Talbot, AR. The missed ostium sequence and the surgical approach to revision functional endoscopic sinus surgery. Otolaryngol Clin North Am 1996;29:169–83CrossRefGoogle ScholarPubMed
Little, RE, Long, CM, Loehrl, TA, Poetker, DM. Odontogenic sinusitis: a review of the current literature. Laryngoscope Investig Otolaryngol 2018;3:110–14CrossRefGoogle ScholarPubMed
Robey, A, O'Brien, EK, Leopold, DA. Assessing current technical limitations in the small-hole endoscopic approach to the maxillary sinus. Am J Rhinol Allergy 2010;24:396–401CrossRefGoogle ScholarPubMed
Cho, DY, Hwang, PH. Results of endoscopic maxillary mega-antrostomy in recalcitrant maxillary sinusitis. Am J Rhinol 2008;22:658–62CrossRefGoogle ScholarPubMed
Woodworth, BA, Parker, RO, Schlosser, RJ. Modified endoscopic medial maxillectomy for chronic maxillary sinusitis. Am J Rhinol 2006;20:317–19CrossRefGoogle ScholarPubMed
Thompson, C, Conley, DB. What is the optimal maxillary antrostomy size during sinus surgery? Curr Opin Otolaryngol Head Neck Surg 2015;23:34–8CrossRefGoogle ScholarPubMed
Bassiouni, A, Naidoo, Y, Wormald, PJ. When FESS fails: the inflammatory load hypothesis in refractory chronic rhinosinusitis. Laryngoscope 2012;122:460–6CrossRefGoogle ScholarPubMed
Costa, ML, Psaltis, AJ, Nayak, JV, Hwang, PH. Long-term outcomes of endoscopic maxillary mega-antrostomy for refractory chronic maxillary sinusitis. Int Forum Allergy Rhinol 2015;5:60–5CrossRefGoogle ScholarPubMed
Sadeghi, N, Al-Dhahri, S, Manoukian, JJ. Transnasal endoscopic medial maxillectomy for inverting papilloma. Laryngoscope 2003;113:749–53CrossRefGoogle ScholarPubMed
Wormald, PJ, Ooi, E, van Hasselt, CA, Nair, S. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope 2003;113:867–7310.1097/00005537-200305000-00017CrossRefGoogle ScholarPubMed
Luong, A, Citardi, MJ, Batra, PS. Management of sinonasal malignant neoplasms: defining the role of endoscopy. Am J Rhinol Allergy 2010;24:150–5CrossRefGoogle ScholarPubMed
Kastl, KG, Rettinger, G, Keck, T. The impact of nasal surgery on air-conditioning of the nasal airways. Rhinology 2009;47:237–41CrossRefGoogle ScholarPubMed
Dayal, A, Rhee, JS, Garcia, GJ. Impact of middle versus inferior total turbinectomy on nasal aerodynamics. Otolaryngol Head Neck Surg 2016;155:518–25CrossRefGoogle ScholarPubMed
Durr, ML, Goldberg, AN. Endoscopic partial medial maxillectomy with mucosal flap for maxillary sinus mucoceles. Am J Otolaryngol 2014;35:115–1910.1016/j.amjoto.2013.10.010CrossRefGoogle ScholarPubMed
Weber, RK, Werner, JA, Hildenbrand, T. Endonasal endoscopic medial maxillectomy with preservation of the inferior turbinate. Am J Rhinol Allergy 2010;24:132–5CrossRefGoogle ScholarPubMed
Suzuki, M, Nakamura, Y, Nakayama, M, Inagaki, A, Murakami, S, Takemura, K et al. Modified transnasal endoscopic medial maxillectomy with medial shift of preserved inferior turbinate and nasolacrimal duct. Laryngoscope 2011;121:2399–401CrossRefGoogle ScholarPubMed
Wang, EW, Gullung, JL, Schlosser, RJ. Modified endoscopic medial maxillectomy for recalcitrant chronic maxillary sinusitis. Int Forum Allergy Rhinol 2011;1:493–7CrossRefGoogle ScholarPubMed
Thulasidas, P, Vaidyanathan, V. Role of modified endoscopic medial maxillectomy in persistent chronic maxillary sinusitis. Int Arch Otorhinolaryngol 2014;18:159–64CrossRefGoogle ScholarPubMed
Morrissey, DK, Wormald, PJ, Psaltis, AJ. Prelacrimal approach to the maxillary sinus. Int Forum Allergy Rhinol 2016;6:214–18CrossRefGoogle ScholarPubMed
Lin, YT, Lin, CF, Yeh, TH. Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases. Int Forum Allergy Rhinol 2018;8:530–6CrossRefGoogle ScholarPubMed
Comoglu, S, Celik, M, Enver, N, Sen, C, Polat, B, Deger, K. Transnasal prelacrimal recess approach for recurrent antrachoanal polyp. J Craniofac Surg 2016;27:1025–7CrossRefGoogle ScholarPubMed
Lee, JJ, Ahmad, ZA, Kim, D, Ryu, G, Kim, HY, Dhong, HJ et al. Comparison between endoscopic prelacrimal medial maxillectomy and Caldwell-Luc approach for benign maxillary sinus tumors. Clin Exp Otorhinolaryngol 2019;12:287–93CrossRefGoogle ScholarPubMed
Yu, QQ, Guan, G, Zhang, NK, Zhang, XW, Jiang, Y, Lian, YY et al. Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma. Eur Arch Otorhinolaryngol 2018;275:2297–302CrossRefGoogle ScholarPubMed
Gao, L, Zhou, L, Dai, Z, Huang, X. The endoscopic prelacrimal recess approach to the pterygopalatine fossa and infratemporal fossa. J Craniofac Surg 2017;28:1589–93CrossRefGoogle ScholarPubMed
Zhou, B, Huang, Q, Shen, PH, Cui, SJ, Wang, CS, Li, YC et al. The intranasal endoscopic removal of schwannoma of the pterygopalatine and infratemporal fossae via the prelacrimal recess approach. J Neurosurg 2016;124:1068–73CrossRefGoogle ScholarPubMed
Zhou, B, Han, DM, Cui, SJ, Huang, Q, Wang, CS. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J (Engl) 2013;126:1276–80Google ScholarPubMed
Zhou, B, Huang, Q, Sun, J, Li, X, Zhang, W, Cui, S et al. Resection of inverted papilloma of the maxillary sinus via a prelacrimal recess approach: a multicenter retrospective analysis of surgical efficacy. Am J Rhinol Allergy 2018;32:518–25CrossRefGoogle Scholar
Suzuki, M, Nakamura, Y, Yokota, M, Ozaki, S, Murakami, S. Modified transnasal endoscopic medial maxillectomy through prelacrimal duct approach. Laryngoscope 2017;127:2205–9CrossRefGoogle ScholarPubMed
Papesch, E, Papesch, M. The nasal pyriform aperture and its importance. Otorhinolaryngol Head Neck Surg 2016;1:89–91CrossRefGoogle Scholar
Kashlan, K, Craig, J. Dimensions of the medial wall of the prelacrimal recess. Int Forum Allergy Rhinol 2018;8:751–5CrossRefGoogle ScholarPubMed
Sieskiewicz, A, Buczko, K, Janica, J, Lukasiewicz, A, Lebkowska, U, Piszczatowski, B et al. Minimally invasive medial maxillectomy and the position of nasolacrimal duct: the CT study. Eur Arch Otorhinolaryngol 2017;274:1515–19CrossRefGoogle ScholarPubMed
Harvey, RJ, Sheehan, PO, Debnath, NI, Schlosser, RJ. Transseptal approach for extended endoscopic resections of the maxilla and infratemporal fossa. Am J Rhinol Allergy 2009;23:426–32CrossRefGoogle ScholarPubMed
Ramakrishnan, VR, Suh, JD, Chiu, AG, Palmer, JN. Septal dislocation for endoscopic access of the anterolateral maxillary sinus and infratemporal fossa. Am J Rhinol Allergy 2011;25:128–30CrossRefGoogle ScholarPubMed
Schreiber, A, Ferrari, M, Rampinelli, V, Doglietto, F, Belotti, F, Lancini, D et al. Modular endoscopic medial maxillectomies: quantitative analysis of surgical exposure in a preclinical setting. World Neurosurg 2017;100:44–55CrossRefGoogle Scholar
Feldt, BA, McMains, KC, Weitzel, EK. Cadaveric comparison of canine fossa vs transnasal maxillary sinus access. Int Forum Allergy Rhinol 2011;1:183–6CrossRefGoogle ScholarPubMed
Byun, JY, Lee, JY. Canine fossa puncture for severe maxillary disease in unilateral chronic sinusitis with nasal polyp. Laryngoscope 2013;123:E79–84CrossRefGoogle ScholarPubMed
Seiberling, KA, Church, CA, Tewfik, M, Foreman, A, Chang, D, Ghostine, M et al. Canine fossa trephine is a beneficial procedure in patients with Samter's triad. Rhinology 2012;50:104–8Google Scholar
Singhal, D, Douglas, R, Robinson, S, Wormald, PJ. The incidence of complications using new landmarks and a modified technique of canine fossa puncture. Am J Rhinol 2007;21:316–19CrossRefGoogle Scholar
Robinson, S, Wormald, PJ. Patterns of innervation of the anterior maxilla: a cadaver study with relevance to canine fossa puncture of the maxillary sinus. Laryngoscope 2005;115:1785–8CrossRefGoogle ScholarPubMed
Seiberling, K, Ooi, E, MiinYip, J, Wormald, PJ. Canine fossa trephine for the severely diseased maxillary sinus. Am J Rhinol Allergy 2009;23:615–18CrossRefGoogle ScholarPubMed
Upadhyay, S, Dolci, RL, Buohliqah, L, Fiore, ME, Ditzel Filho, LF, Prevedello, DM et al. Effect of incremental endoscopic maxillectomy on surgical exposure of the pterygopalatine and infratemporal fossae. J Neurol Surg B Skull Base 2016;77:66–74CrossRefGoogle ScholarPubMed
Prosser, JD, Figueroa, R, Carrau, RI, Ong, YK, Solares, CA. Quantitative analysis of endoscopic endonasal approaches to the infratemporal fossa. Laryngoscope 2011;121:1601–5CrossRefGoogle ScholarPubMed
Lee, JT, Suh, JD, Carrau, RL, Chu, MW, Chiu, AG. Endoscopic Denker's approach for resection of lesions involving the anteroinferior maxillary sinus and infratemporal fossa. Laryngoscope 2017;127:556–60CrossRefGoogle ScholarPubMed