Transnasal endoscopic partial maxillectomy: Operative nuances and proposal for a comprehensive classification system based on 1378 cases. Issue 4 (29th December 2016)

• Record Type: Journal Article
• Authors: Turri–Zanoni, Mario; Battaglia, Paolo; Karligkiotis, Apostolos; Lepera, Davide; Zocchi, Jacopo; Dallan, Iacopo; Bignami, Maurizio; Castelnuovo, Paolo
• Is Part Of: Head & neck. Volume 39:Issue 4(2017)
• Page Start: 754
• Page End: 766
• Publication Date: 2016-12-29
• Subjects: endoscopic endonasal -- maxillary sinus -- maxillectomy -- maxillotomy -- skull base; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24676
• Languages: English
• ISSNs: 1043-3074

Abstract

ABSTRACT: Background: Despite the development of functional endoscopic endonasal surgery, there are still areas of the maxillary sinus that remain technically difficult to access using a standard middle meatal antrostomy as well as deep‐seated skull base lesions requiring expanded transmaxillary approaches. Methods: All patients who underwent transnasal endoscopic partial maxillectomy (TEPM) in a single institution from 2000 to 2014 were retrospectively reviewed. The TEPM was classified into 5 types according to the anatomic structures progressively removed and to the access provided. Results: The TEPM was performed in 1378 patients for the management of: inflammatory diseases in 513 cases (37%), benign sinonasal tumors in 425 cases (31%), skull base malignancies in 285 cases (21%), and as a corridor to address deep‐seated skull base lesions in 155 cases (11%). Conclusion: The TEPM is a stepwise approach offering increasing access that can be tailored to different maxillary, sinonasal, and skull base pathologies with minimal morbidity for patients. © 2016 Wiley Periodicals, Inc. Head Neck 39: 754–766, 2017