Posterior translacrimal approach to the maxillary sinus.

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Posterior translacrimal approach to the maxillary sinus.

J Laryngol Otol. 2017 Aug 15;:1-9

Authors: Dönmez D, Giotakis E, Hosemann WG, Kühnel TS, Hirt B, Weber RK

Abstract
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.

PMID: 28807088 [PubMed - as supplied by publisher]

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