Endoscopic medial maxillectomy breaking new frontiers

Abstract

Endoscopy has changed the perspective of rhinologist towards the nose. It has revolutionised the surgical management of sinonasal disorders. Sinus surgeries were the first to get the benefit of endoscope. Gradually the domain of endoscopic surgery extended to the management of sino nasal tumours. Traditionally medial maxillectomy was performed through lateral rhinotomy or mid facial degloving approach. Endoscopic medial maxillectomy has been advocated by a number of authors in the management of benign sino-nasal tumours. We present our experience of endoscopic medial maxillectomy in the management of sinonasal pathologies.

Keywords: Endoscopic medial maxillectomy; Fungal sinusitis; Inverted papilloma.

Fig. 1

Graph showing the presenting complaints of patients

Fig. 2

Graph showing the clinical findings of the patients

Fig. 3

CT-PNS coronal section showing radio opaque lesion involving the maxillary and ethmoid sinus

Fig. 4

CT scan of PNS coronal section showing soft tissue lesion in the maxilla extending into the nasal cavity

Fig. 5

Axial CT scan of paranasal sinus showing heterogenous soft tissue lesion with erosion of medial and posterior wall of maxilla

Fig. 6

Post op endoscopic picture of medial maxillectomy

Fig. 7

CT scan PNS axial section showing post Medial Maxillectomy status