Waizel-Haiat S, Solano-Mendoza MC, Vargas-Aguayo AM

Language: Spanish
References: 14
Page: 218-227
PDF size: 603.26 Kb.

ABSTRACT

Background: Maxillary sinus surgery has been evolving and, due to advances in technology, endoscopic surgery is widely used in the maxillary sinus for multiple pathologies that 15 years ago were treated through open approaches. For this reason, we conducted an observational descriptive study.
Methods: We reviewed the clinical records of patients with pathology involving the maxillary sinus and who were surgically treated from January 2008 to December 2009, type of disease, surgical approach used, presence of complications, pre- and postoperative score according to the Lund-Mackay scale, and resolution (or not) of symptoms. We compared these results with a previous study carried out in 1994 in our hospital. We found a total of 177 patients with maxillary sinus-related pathology, of whom 46 patients were excluded.
Results: In 131 patients we found a clear predominance of chronic rhinosinusitis without polyps as a pre-surgical diagnosis. We used four different approaches: endoscopic (88.5%), combined approach (5.5%), sublabial expanded (4.5%) and Caldwell Luc (1.5%); 41% of the patients received 0 points on the postoperative Lund-Mackay scale.
Conclusions: Surgery of the maxillary sinus in our hospital has evolved considerably; the endoscopic approach was used as a surgical treatment in ›90% of patients with a low percentage of complications.

REFERENCES

1. Lund VJ. The evolution of surgery on the maxillary sinus for chronic rhinosinusitis. Laryngoscope 2002;112:415-419.

2. Lund VJ. The results of inferior and middle meatal antrostomy under endoscopic control. Acta Otorhinolaryngol Belg 1993;47:65-71.

3. Stucker FJ, Souza C, Kenyon GS, Lian TS, Draf W, Schick B. Rhinology and Facial Plastic Surgery. 1st ed. Leipzig: Springer, 2009;553-557.

4. Breinbauer HK, Contreras JM, Namoncura CP. Técnica de Caldwell-Luc en los últimos 16 años: revisión de sus indicaciones. Rev Otorrinolaringol Cir Cabeza Cuello 2008;68:247-254.

5. Cutler JL, Duncavage JA, Matheny K, Cross JL, Miman MC, Oh CK. Results of Caldwell-Luc after failed endoscopic middle meatus antrostomy in patients with chronic sinusitis. Laryngoscope 2003;113:2148-2150.

6. May M, Levine HL, Schaitkin B. Complications of endoscopic sinus surgery. In: Levine HL, May M. Endoscopic Sinus Surgery. New York: Thieme, 1993 p. 193-243.

7. Keerl R, Stankiewicz J, Weber R, Hosemann W, Draf W. Surgical experience and complications during endonasal sinus surgery. Laryngoscope 1999;109:546-550.

8. DeFreitas J, Lucente FE. The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985. Laryngoscope 1988;98:1297-1300.

9. Lee JY, Lee SH, Hong HS, Lee JD, Cho SH. Is the canine fossa puncture approach really necessary for the severely diseased maxillary sinus during endoscopic sinus surgery? Laryngoscope 2008;118:1082-1087.

10. Lund VJ, Mackay IS. Staging in rhinosinusitus. Rhinology 1993;31:183-184.

11. Hong SK, Min YG, Kim CN, Byun SW. Endoscopic removal of the antral portion of antrochoanal polyp by powered instrumentation. Laryngoscope 2001;111:1774-1778.

12. Zizmor J, Noyek AM. Cysts, benign tumors, and malignant tumors of the paranasal sinuses. Otolaryngol Clin North Am 1973;6:487-508.

13. Han JK, Smith TL, Loehrl T, Toohill RJ, Smith MM. An evolution in the management of sinonasal inverting papilloma. Laryngoscope 2001;111:1395-1400.

14. Penttilä MA, Rautiainen ME, Pukander JS, Karma PH. Endoscopic versus Caldwell-Luc approach in chronic maxillary sinusitis: comparison of symptoms at one-year follow-up. Rhinology 1994;32:161-165.