Endoscopic-assisted maxillectomy: our experience in tumours affecting the posterior wall of the maxillary sinus.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-30 DOI:10.1017/S0022215125102958

Maria Casasayas, Anna Holgado, Xavier León, Katarzyna Kolanczak, María Pérez-Sempere, Miquel Quer, Juan Ramón Gras-Cabrerizo

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引用次数: 0

Abstract

Objective: To show our experience in performing endoscopic-assisted maxillectomy (EAM), with the aim of facilitating delineation of tumour resection and improve the achievement of free tumour resection margins.

Methods: Patients undergoing EAM between 2021 and 2024 were reviewed. During the endoscopic approach, the medial and lateral plates of the pterygoid were drilled, taking as reference the superior margin of the inferior turbinate.

Results: Six patients underwent an EAM surgery. The maxillectomy was completed with an external transfacial approach in four patients and with a transoral approach in two. No intraoperative complications were observed. Five patients had postoperative flap dehiscence; two cases healed spontaneously and three cases required surgery.

Conclusion: EAM allows delimitation of the posterior limit of tumour resection in total or subtotal maxillectomies. This endoscopic approach facilitates the drilling of the pterygoid process to complete the posterior osteotomy, which is a complex manoeuvre during the exclusive external approach.

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内镜辅助上颌窦切除术：我们治疗上颌窦后壁肿瘤的经验。

目的：总结内镜辅助上颌骨切除术（EAM）的经验，以方便肿瘤切除的描绘，提高肿瘤自由切除的成功率。方法：对2021 - 2024年间接受EAM的患者进行回顾性分析。内镜入路时，以下鼻甲上缘为参照，钻取翼状骨内、外侧板。结果：6例患者行EAM手术。4例患者采用外经面入路，2例采用经口入路。无术中并发症。术后皮瓣裂开5例；2例自愈，3例手术治疗。结论：EAM可以在上颌全切或次全切中划定肿瘤切除的后界。这种内窥镜入路有助于钻取翼状突以完成后截骨，这是排他外入路中一个复杂的操作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.