ABSTRACT
Studies on 30 cadavers were carried out in order to develop endoscopic approaches to diagnosis and treatment of inflammatory and tumorous diseases of the maxillary sinuses. Morphometric data helped objectively validate surgical accesses and experimentally confirmed the efficiency of three accesses: from the maxillary tuber, through the anterior wall, and through the inferior nasal passage. Endosurgical approaches allow radical operations with minimum injury and ensure functional and esthetic effects.
Subject(s)
Maxillary Sinus Neoplasms/surgery , Maxillary Sinusitis/surgery , Video-Assisted Surgery/methods , Humans , Maxillary Sinus/anatomy & histology , Maxillary Sinus/pathology , Maxillary Sinus/surgery , Maxillary Sinus Neoplasms/diagnosis , Maxillary Sinusitis/diagnosisABSTRACT
A total of 102 patients with inflammatory diseases and tumors of the maxillary sinuses were examined and treated using endosurgical technologies. X-Ray computer-aided tomography and magnetic imaging helped determine the access to the maxillary sinus, and the endosurgical instrument was inserted through the anterior wall of the sinus, medial wall, and maxillary tuberosity. Endosurgery was the most effective in polypous sinusitis, mucocele, inverted papilloma, and for biopsy. Endosurgical technologies allow a full-scale surgical intervention with the least invasion.