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

Preti, Andrea; Turri-Zanoni, Mario; Arosio, Alberto-Daniele; Castelnuovo, Paolo; Battaglia, Paolo

doi:10.22038/ijorl.2018.30191.1989

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

Document Type : Rapid Communication

Authors

Andrea Preti ¹

Mario Turri-Zanoni ²

Alberto-Daniele Arosio ²

Paolo Castelnuovo ²

Paolo Battaglia ²

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.

10.22038/ijorl.2018.30191.1989

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.

Keywords

Endoscopic endonasal surgery

Maxillary sinus

Osteotomy

Pre-lacrimal approach

Subjects