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Endoscopic Medial Maxillectomy With Preservation of Inferior Turbinate

Assessing Results by Acoustic Rhinometry

Gras-Cabrerizo, Juan R., MD*; Martel-Martin, Maria, MD; Montserrat-Gili, Joan R., MD*; Pardo-Muñoz, Laura, MD*; Prats-Morera, Laura, RN; Ademá-Alcover, Joan M., MD§; Massegur-Solench, Humbert, MD*

doi: 10.1097/SCS.0000000000005476
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Background: The aim of this study is to demonstrate the effectiveness of the Endoscopic Medial Maxillectomy technique with the preservation of the nasal anatomy and function of the inferior turbinate.

Methods: From January 2005 to December 2016, the authors performed 27 Endoscopic Medial Maxillectomy with preservation of inferior turbinate on 26 patients. The most frequent pathologies diagnosed were inverted papillomas (13/27) and antrochoanal polyps (7/27). There were 21 primary lesions and 6 patients had been previously treated. There were 19 males and 7 females. On 11 patients the authors could perform an acoustic rhinometry at 4 months postoperatively.

Results: The authors did not find any recurrences. In all cases the authors note the presence of the C-notch being the narrowest area of the nasal cavity, on both the surgical and nonsurgical nasal fossa. The mean area for the C-notch in the nonsurgical nasal cavities was 0.50 cm2 (0.18–0.82) and it was 0.57 cm2 (0.08–1.06) in the surgical nasal cavities. The increase of the C-notch after nasal decongestion was 0.10 cm2 in nonsurgical cavities and it was 0.03 cm2 in the surgical cavities. The mean distance for the C-notch was 2.18 cm and 2.36 cm before and after nasal decongestion in the nonsurgical fossae. In the surgical cavities were 2.31 and 2.37 cm respectively.

Conclusions: The authors’ rhinometrics data suggest that Endoscopic Medial Maxillectomy with preservation of inferior turbinate is an effective technique that preserves the anatomic structure and the functions of the inferior turbinate after its resection and reposition.

*Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona

Department of Otolaryngology/Head and Neck Surgery, Sant Joan Despí Moisès Broggi de Barcelona

Nursery Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau

§Department of Otolaryngology/Head and Neck Surgery, Hospital General de Cataluña, Universitat Autònoma de Barcelona, Barcelona, Spain.

Address correspondence and reprint requests to Juan R. Gras-Cabrerizo, MD, Department of Otolaryngology/Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona 932919000, Spain; E-mail: jgras@.santpau.cat

Received 17 October, 2018

Accepted 27 January, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.