상악동 기원의 반전성 유두종의 수술법에 따른 결과 비교: 전누골와 접근법과 Caldwell-Luc 접근법
Comparison of Surgical Outcomes for Treatment of Maxillary Sinus Inverted Papilloma: Endoscopic Prelacrimal Recess Approach versus Caldwell-Luc Approach
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives Endoscopic prelacrimal recess approach (PLRA) was introducedto treat maxillary sinus inverted papilloma (IP) without sacrificing the inferior turbinateand nasolacrimal duct. This study aimed to compare surgical outcomes of prelacrimal recessapproach with the conventional Caldwell-Luc approach (CLA) to remove IP of maxillary sinusand to evaluate the usefulness of the PLRA. Subjects and Method We retrospectively reviewed medical records of 51 patients who weretreated in our institution for IP of nasal cavity and sinuses between March 2010 and June 2019. Twenty patients had maxillary sinus IP. Sixteen patients underwent endoscopic sinus surgerycombined with either CLA (n=8) or PLRA (n=8). Demographic data, surgical technique, site ofIP origin, intra- and postoperative complications, duration of follow-up, recurrence rate andpathologic diagnosis were reviewed. Results IP was the pathologic diagnosis for all 16 cases. Gross total removal was achieved inall cases. The mean follow-up period was 20.1 months in CLA group and 12.5 months in PLRAgroup. There was one case of massive bleeding during operation requiring transfusion and postoperativeICU care in CLA group. On postoperative follow-up, two patients from the CLAgroup had recurrence during the follow-up period. One patient had numbness around the gingivalarea, another patient had transient wound dehiscence, and another had persistent oro-antralfistula. In PLRA group, one patient had periorbital swelling after blowing nose; otherwise, noother patient from the PLRA group developed subjective complaints after surgery. Conclusion Endoscopic prelacrimal recess approach showed lower complication rates andrecurrence rates compared to CLA. PLRA is a safe and effective method for the excision of primarymaxillary sinus IP.
Abstract
Background and Objectives Endoscopic prelacrimal recess approach (PLRA) was introducedto treat maxillary sinus inverted papilloma (IP) without sacrificing the inferior turbinateand nasolacrimal duct. This study aimed to compare surgical outcomes of prelacrimal recessapproach with the conventional Caldwell-Luc approach (CLA) to remove IP of maxillary sinusand to evaluate the usefulness of the PLRA. Subjects and Method We retrospectively reviewed medical records of 51 patients who weretreated in our institution for IP of nasal cavity and sinuses between March 2010 and June 2019. Twenty patients had maxillary sinus IP. Sixteen patients underwent endoscopic sinus surgerycombined with either CLA (n=8) or PLRA (n=8). Demographic data, surgical technique, site ofIP origin, intra- and postoperative complications, duration of follow-up, recurrence rate andpathologic diagnosis were reviewed. Results IP was the pathologic diagnosis for all 16 cases. Gross total removal was achieved inall cases. The mean follow-up period was 20.1 months in CLA group and 12.5 months in PLRAgroup. There was one case of massive bleeding during operation requiring transfusion and postoperativeICU care in CLA group. On postoperative follow-up, two patients from the CLAgroup had recurrence during the follow-up period. One patient had numbness around the gingivalarea, another patient had transient wound dehiscence, and another had persistent oro-antralfistula. In PLRA group, one patient had periorbital swelling after blowing nose; otherwise, noother patient from the PLRA group developed subjective complaints after surgery. Conclusion Endoscopic prelacrimal recess approach showed lower complication rates andrecurrence rates compared to CLA. PLRA is a safe and effective method for the excision of primarymaxillary sinus IP.
참고문헌 (18)
- 민인규, "비강 및 부비동에 발생한 반전성 유두종 : 102예의 분석", 대한이비인후-두경부외과학회지, 46(8), pp.659~664 (2003), 대한이비인후과학회
- Ungari C, "Management and treatment of sinonasal inverted papilloma", Ann Stomatol(Roma), 6(3-4), pp.87~90 (2016)
- Nakayama T, "Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct", Am J Rhinol Allergy, 26(5), pp.405~408 (2012)
- Peng P, "Management of inverted papillomas of the nose and paranasal sinuses", Am J Otolaryngol, 27(4), pp.233~237 (2006)
- Philpott CM, "Endoscopic management of inverted papillomas: Long-term results--the St. Paul’s Sinus Centre experience", Rhinology, 48(3), pp.358~363 (2010)
- Zhao Y, "Modified endoscopic inferior meatal fenestration with mucosal flap for maxillary sinus diseases", Wideochir Inne Tech Maloinwazyjne, 13(4), pp.533~538 (2018)
- 이정주, "Comparison Between Endoscopic Prelacrimal Medial Maxillectomy and Caldwell-Luc Approach for Benign Maxillary Sinus Tumors", Clinical and Experimental Otorhinolaryngology, 12(3), pp.287~293 (2019), 대한이비인후과학회[DOI]
- Low WK, "Complications of the Caldwell-Luc operation and how to avoid them", Aust N Z J Surg, 65(8), pp.582~584 (1995)
- Zhou B, "Endoscopic nasal lateral wall dissection approach to maxillary sinus", Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 42(10), pp.743~748 (2007)
- Zhou B, "Resection of inverted papilloma of the maxillary sinus via a prelacrimal recess approach : A multicenter retrospective analysis of surgical efficacy", Am J Rhinol Allergy, 32, pp.518~525 (2018)
- Zhou B, "Intranasal endoscopic prelacrimal recess approach to maxillary sinus", Chin Med J(Engl), 126(7), pp.1276~1280 (2013)
- Kim JS, "Recurrence of sinonasal inverted papilloma following surgical approach : A meta-analysis", Laryngoscope, 127(1), pp.52~58 (2017)
- Caldwell GW, "Diseases of the accessory sinuses of the nose and improved of treatment for suppuration of the maxillary antrum", New York Med Jour a Med Record, 4 (1893)
- Datta RK, "Caldwell Luc surgery : Revisited", Indian J Otolaryngol Head Neck Surg, 68(1), pp.90~93 (2016)
- Lin YT, "Application of the endoscopic prelacrimal recess approach to the maxillary sinus in unilateral maxillary diseases", Int Forum Allergy Rhinol, 8(4), pp.530~536 (2018)
- Lin YH, "Clinical outcome of endonasal endoscopic prelacrimal approach in managing different maxillary pathologies", PeerJ, 8, pp.e8331~ (2020)
- Yu QQ, "Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma", Eur Arch Otorhinolaryngol, 275(9), pp.2297~2302 (2018)
- Mirza S, "Sinonasal inverted papillomas: Recurrence, and synchronous and metachronous malignancy", J Laryngol Otol, 121(9), pp.857~864 (2007)