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Endoscopic Endonasal Prelacrimal Approach: Radiological Considerations, Morbidity, and Outcomes
Author(s) -
Arosio Alberto Daniele,
Valentini Marco,
Canevari Frank Rikki,
Volpi Luca,
Karligkiotis Apostolos,
Terzakis Dimitris,
Battaglia Paolo,
Georgalas Christos,
Bignami Maurizio,
Castelnuovo Paolo,
TurriZai Mario
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29330
Subject(s) - medicine , radiological weapon , sequela , schwannoma , retrospective cohort study , surgery , referral , radiology , family medicine
Objective/Hypothesis This study describes a multicentric experience with the use of prelacrimal approach (PLA), focusing on preoperative radiological parameters potentially associated with surgical outcomes and postoperative morbidity. Study Design Retrospective case‐series. Methods A retrospective review of patients undergoing PLA in three European referral centers was performed. The post‐operative morbidity was analyzed in relation to two radiological parameters: width of prelacrimal recess (WPR) and internal angle of pyriform notch (APN). Results The study included 28 patients affected by Schneiderian papilloma (20 cases), inflammatory disease (6 cases), schwannoma (1 case), and osteoma (1 case). The most reported sequela was paresthesia of ipsilateral anterior superior alveolar process (25% of the cases). An association between post‐operative morbidity and APN was observed ( P = .047). Conclusions Preoperative radiological evaluation of WPR is crucial in understanding the feasibility of the approach, while APN measurement may predict postoperative morbidity, which is paramount in the patients' counseling. Level of Evidence 4 case‐series Laryngoscope , 131:1715–1721, 2021