Korean J Otorhinolaryngol-Head Neck Surg.  2019 May;62(5):284-287. 10.3342/kjorl-hns.2018.00633.

Prelacrimal Recess Approach for Maxillary Sinus Inverted Papilloma: Preliminary Study

• Lee MJ
• Cho JM
• Park BW
• Kim YW

• KMID: 2449254
• DOI: http://doi.org/10.3342/kjorl-hns.2018.00633

Abstract

BACKGROUND AND OBJECTIVES
Various surgical approaches have been employed for the complete resection of inverted papilloma (IP) of the nose and paranasal sinus. Sacrificing the inferior turbinate (IT) and nasolacrimal duct (NLD) is often unavoidable due to the anatomy of maxillary sinus. However, the prelacrimal recess approach (PLRA) provides a wider entrance to the maxillary sinus without the ablation of NLD and IT. We present seven cases of IP successfully treated by the PLRA.
SUBJECTS AND METHOD
We collected data from seven different cases involving patients who underwent resection of IP by means of the PLRA from 2016 to 2017. If the lesion could not be removed first via middle meatal antrostomy (MMA), then PLRA was attempted. The surgical specimens were all confirmed to be IP.
RESULTS
Preoperative imaging studies demonstrated that the lesions of IP were located mainly in the maxillary sinus. All of the seven patients had unilateral lesions and all tumors were completely resected via PLRA. The follow-up ranged from 3 to 24 months, during which no recurrence or complications were observed in any of the seven patients.
CONCLUSION
PLRA provides an adequate operation field without unfavorable scars. It allows the preservation of sinus structure and function. PLRA is feasible and can be used for the diffuse maxillary sinus IP.

Keyword

Inverted papilloma; Minimally invasive surgical procedure

MeSH Terms

Cicatrix
Follow-Up Studies
Humans
Maxillary Sinus*
Methods
Nasolacrimal Duct
Nose
Papilloma, Inverted*
Recurrence
Turbinates