Inferior Turbinate Swing Approach for Inaccessible Maxillary Sinus Lesions
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Background and Objectives Maxillary sinus is easily accessible through endoscopic sur-gery; however, additional combined approaches may be required depending on primary le-sions. These approaches are canine fossa approach (CFA), Caldwell-Luc operation (C-L op),Denker approach, and inferior turbinate (IT) swing technique. Our purpose was to analyzeand compare the overall results of these surgical approaches to determine superiority. Subjects and Method Records of patients who underwent surgery of functional endoscopicsinus surgery (FESS) with CFA, C-L op, Denker approaches or IT swing technique in a singletertiary hospital from 2015 to 2023 were studied retrospectively. Patients who underwent ad-ditional surgery other than CFA, C-L op, Denker, and IT swing technique were excluded. Results A total 86 patients underwent FESS with combined approaches. IT swing techniquewas used for 30 patients, Denker op was performed for three patients, and C-L op or CFA wasused for 53 patients. IT swing technique, Denker op, and C-L op were mainly used for nasalcavity tumor, such as inverted papilloma (IP). CFA was used for not only CRS w NP but alsofor IP. Recurrence was reported for the IT swing group and CFA group in IP. Three out 20 pa-tients relapsed in the IT swing group, and two out of six patients relapsed in the CFA group. Conclusion The IT swing technique is a good minimally invasive surgical method that cansecure the anteromedial field of view of maxillary sinus, but complete drilling of the remnantbone is required for IP.
Abstract
Background and Objectives Maxillary sinus is easily accessible through endoscopic sur-gery; however, additional combined approaches may be required depending on primary le-sions. These approaches are canine fossa approach (CFA), Caldwell-Luc operation (C-L op),Denker approach, and inferior turbinate (IT) swing technique. Our purpose was to analyzeand compare the overall results of these surgical approaches to determine superiority. Subjects and Method Records of patients who underwent surgery of functional endoscopicsinus surgery (FESS) with CFA, C-L op, Denker approaches or IT swing technique in a singletertiary hospital from 2015 to 2023 were studied retrospectively. Patients who underwent ad-ditional surgery other than CFA, C-L op, Denker, and IT swing technique were excluded. Results A total 86 patients underwent FESS with combined approaches. IT swing techniquewas used for 30 patients, Denker op was performed for three patients, and C-L op or CFA wasused for 53 patients. IT swing technique, Denker op, and C-L op were mainly used for nasalcavity tumor, such as inverted papilloma (IP). CFA was used for not only CRS w NP but alsofor IP. Recurrence was reported for the IT swing group and CFA group in IP. Three out 20 pa-tients relapsed in the IT swing group, and two out of six patients relapsed in the CFA group. Conclusion The IT swing technique is a good minimally invasive surgical method that cansecure the anteromedial field of view of maxillary sinus, but complete drilling of the remnantbone is required for IP.
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