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

Document Type : Short Communication

Authors

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.

Abstract

Introduction:
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.
 
Results:
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.
 
Conclusion:
The pre-lacrimal approach to the maxillary sinus should be considered as a part of the surgical armamentarium to address the maxillary sinus.

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Iranian Journal of Otorhinolaryngology
Volume 31, Issue 5 - Serial Number 106
September and October 2019
Pages 327-328

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