Role of Modified Endoscopic Medial Maxillectomy in Persistent Chronic Maxillary Sinusitis
Int. arch. otorhinolaryngol. (Impr.)
; 18(2): 159-164, Apr-Jun/2014.
Article
em En
| LILACS
| ID: lil-711661
Biblioteca responsável:
BR66.1
ABSTRACT
Introduction:
Functional endoscopic sinus surgery has a long-term high rate of success for symptomatic improvement in patients with medically refractory chronic rhinosinusitis. As the popularity of the technique continues to grow, however, so does the population of patients with postsurgical persistent sinus disease, especially in those with a large window for ventilation and drainage. In addition, chronic infections of the sinuses especially fungal sinusitis have a higher incidence of recurrence even though a wide maxillary ostium had been performed earlier. This subset of patients often represents a challenge to the otorhinolaryngologist.Objectives:
To identify the patients with chronic recalcitrant maxillary sinusitis and devise treatment protocols for this subset of patients.Methods:
A retrospective review was done of all patients with persistent maxillary sinus disease who had undergone modified endoscopic medial maxillectomy between 2009 and 2012. We studied patient demographics, previous surgical history, and follow-up details and categorized the types of endoscopic medial maxillectomies performed in different disease situations. Results We performed modified endoscopic medial maxillectomies in 37 maxillary sinuses of 24 patients. The average age was 43.83 years. Average follow-up was 14.58 months. All patients had good disease control in postoperative visits with no clinical evidence of recurrences.Conclusion:
Modified endoscopic medial maxillectomy appears to be an effective surgery for treatment of chronic, recalcitrant maxillary sinusitis...Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Sinusite Maxilar
/
Endoscopia
/
Azul de Metileno
Tipo de estudo:
Guideline
/
Prognostic_studies
Idioma:
En
Revista:
Int. arch. otorhinolaryngol. (Impr.)
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Índia
País de publicação:
Brasil