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The role of intranasal prelacrimal recess approach in complete removal of anterior maxillary sinus lesions

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Abstract

Objective

The aim of the study was to assess the role of the intranasal prelacrimal recess approach (PLRA) in complete removal of anterior maxillary lesions.

Study design

This was a prospective study in which 20 patients were recruited between July 2013 and September 2014 from the Otorhinolaryngology outpatient clinic, Cairo University.

Patients and methods

Patients with anterior maxillary sinus (MS) lesions underwent endoscopic sinus surgery and had their lesions removed through the maxillary ostium. The PLRA was then performed to assess the presence of any anterior maxillary remnants, which were then removed.

Results

The intranasal pathologies included sinonasal polyposis (four patients), recurrent sinonasal polyposis (four patients), antrochoanal polyps (four patients), allergic fungal sinusitis (five patients), inverted papilloma (one patient), lymphoma (one patient), and cancer maxilla (one patient). After the PLRA 45% of the patients showed remnants. These included antrochoanal polyp (two patients), recurrent sinonasal polyposis (one patient), allergic fungal sinusitis (three patients), inverted papilloma (one patient), lymphoma (one patient), and cancer maxilla (one patient).

Conclusion

Our preliminary study demonstrated that without the PLRA 45% of the cases will have remnants missed in hidden areas of the MS. The PLRA is a minimally invasive technique to deal with anterior MS lesions.

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Correspondence to Fadi M. Gharib MD.

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Al Ayadi, M.A., Raafat, S.A., Ateya, K.A. et al. The role of intranasal prelacrimal recess approach in complete removal of anterior maxillary sinus lesions. Egypt J Otolaryngol 31, 213–218 (2015). https://doi.org/10.4103/1012-5574.168211

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Keywords

  • maxillary sinus
  • nasal endoscope
  • nasolacrimal duct