Open AccessTurbinate‐Conserving Medial Maxillectomy for Sinonasal Inverted Papilloma
Author(s) -
Asako Mikiya,
Tomoda Koichi
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811415823a440
Subject(s) - medicine , inverted papilloma , nasolacrimal duct , maxillary sinus , surgery , papilloma , pathology
Objective Present the authors’ experience and outcomes in the maxillary inverted papilloma using turbinate‐conserving medial maxillectomy, so‐called swinging‐turbinate procedure. Method Case series with retrospective investigation. Results Endoscopic medial maxillectomy (EMM) is one of the best approaches for the maxillary tumor arising from the lateral and/or frontal wall of the maxillary sinus. However, the function of turbinate mucosal membrane is sacrificed. We present turbinate‐conserving medial maxillectomy, providing wide surgical fields that compare favorably with EMM. The most distinctive feature of the swinging‐turbinate procedure is conserving the inferior turbinate membrane and the nasolacrimal duct. Five of 45 patients who underwent swinging‐turbinate procedure qualified for the analysis. The outcome of the surgery was satisfactory except for 1 case of recurrence. Conclusion Most of the T3 cases and some of the T4 cases in Krouse’s classification system can be treated as ESS. Swinging‐turbinate procedure provides good results for IP.