Doenmez, D. and Giotakis, E. and Hosemann, W. G. and Kuehnel, T. S. and Hirt, B. and Weber, R. K. (2017) Posterior translacrimal approach to the maxillary sinus. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 131 (10). pp. 871-879. ISSN 0022-2151, 1748-5460
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Background: This study aimed to compare the view into the maxillary sinus using the posterior translacrimal approach compared with grade 3 antrostomy. Methods: Grade 3 antrostomy followed by a posterior translacrimal approach was performed on four cadavers. The maximum intramaxillary view was documented endoscopically guided by electromagnetic navigation. Representative screenshots were evaluated in a blinded manner by three independent sinus surgeons. In addition, a prospective investigation of specific complications in the post-operative course of consecutive patients was performed. Results: In the cadaver study, the posterior translacrimal approach provided a significantly better view into the maxillary sinus compared with grade 3 antrostomy. In the clinical study, only 1 out of 20 patients reported on a minor problem with lacrimal drainage at 6 months. Conclusion: The posterior translacrimal approach to visualising the maxillary sinus should be considered a strong alternative to more radical techniques.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ANTROSTOMY; SURGERY; MEATUS; Surgical Endoscopy; Paranasal Sinus Diseases; Maxillary Sinus; Nasolacrimal Duct |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:19 |
| Last Modified: | 25 Feb 2019 18:48 |
| URI: | https://pred.uni-regensburg.de/id/eprint/2093 |
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