A Surgical Variant of the Pre-Lacrimal Approach to the Maxillary Sinus

Document Type : Short Communication


1 Department of Medicine and Surgery, Translational and Experimental Medicine Ph. D, University of Insubria, Varese, Italy and Department of Otorhinolaryngology, Multimedica, San Giuseppe Hospital, Milano, Italy.

2 Department of Biotechnology and Life Sciences (DBSV), Unit of Otorhinolaryngology, University of Insubria, Azienda Ospedaliero-Universitaria Ospedale di Circolo e Fondazione Macchi, Varese, Italy.


When dealing with maxillary sinus pathology, some areas of the sinus remain difficult to examine. In this regard, the pre-lacrimal approach is a minimally invasive technique to reach anterolateral areas of the maxillary sinus while preserving the physiological nasal function.
Materials and Methods:
The present study aimed to provide technical hints related to pre-lacrimal approach acquired through a large number of performed procedures.
According to the results, the mucosa incision was performed more anteriorly than the osteotomy using the proposed surgical variant. Moreover, this procedure prevented post-operative annoying symptoms related to the possible presence of an inferior meatotomy.
The pre-lacrimal approach to the maxillary sinus should be considered as a part of the surgical armamentarium to address the maxillary sinus.


Main Subjects