Endoscopic-Modified Medial Maxillectomy for the Nonfunctioning Maxillary Sinus.
Am J Rhinol Allergy
; 37(5): 611-615, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37183422
ABSTRACT
BACKGROUND:
Middle meatal antrostomy (MMA) is the traditional intervention for chronic maxillary sinusitis but often fails to correct a nonfunctioning maxillary sinus that has lost its capability for mucociliary clearance. Endoscopic-modified medial maxillectomy (EMMM) can reshape the maxillary sinus and avoid a "sumping" effect, preventing secondary bacterial colonization, encouraging dependent drainage, and promoting effective nasal irrigation.OBJECTIVES:
We describe a modification of the EMMM surgical technique in patients with recalcitrant maxillary sinusitis and perioperative outcomes.METHODS:
Consecutive adult patients with nonfunctioning maxillary sinuses managed with EMMM were assessed. Primary outcomes were the resolution of the presenting symptom and the absence of mucostasis. Secondary outcomes were early (<90 days) and late (>90 days) morbidity.RESULTS:
Fifty-seven patients (51.7 ± 17.5 years, 56.1% female) were assessed. Fifty-two patients had complete resolution of their presenting symptom (91.2% [95% CI 80.7-97.1]) and 52 patients had an absence of mucostasis (91.2% [95% CI 80.7-97.1]). Those with persistent crusting were also those with symptoms. Early morbidities included temporary dysesthesia (3.2%), bleeding (1.1%), and pain (3.2%), with no late morbidities.CONCLUSION:
EMMM is a robust approach for salvaging a nonfunctioning maxillary sinus. The procedure enhances nasal irrigation, supplants mucociliary clearance, and discourages dependent mucus retention.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Sinusitis Maxilar
/
Seno Maxilar
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Rhinol Allergy
Asunto de la revista:
ALERGIA E IMUNOLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Australia