دورية أكاديمية
أعرض في EDS

Prelacrimal recess approach for maxillary sinus inverted papilloma: a 15-year experience from a single center.

التفاصيل البيبلوغرافية
العنوان: Prelacrimal recess approach for maxillary sinus inverted papilloma: a 15-year experience from a single center.
المؤلفون: Liang N; Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China., Qu J; Department of Otolaryngology, Beijing Huaxin Hospital, The First Affiliated Hospital of Tsinghua University, Beijing, China., Huang Q; Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China., Zhou B; Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. entzhou@263.net.
المصدر: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Sep; Vol. 281 (9), pp. 4763-4771. Date of Electronic Publication: 2024 Mar 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 9002937 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-4726 (Electronic) Linking ISSN: 09374477 NLM ISO Abbreviation: Eur Arch Otorhinolaryngol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Heidelberg : Springer International, c1990-
مواضيع طبية MeSH: Papilloma, Inverted*/surgery , Maxillary Sinus Neoplasms*/surgery , Endoscopy*/methods, Humans ; Female ; Male ; Middle Aged ; Retrospective Studies ; Adult ; Aged ; Aged, 80 and over ; Follow-Up Studies ; Treatment Outcome ; Maxillary Sinus/surgery ; Maxillary Sinus/diagnostic imaging ; Neoplasm Recurrence, Local/surgery
مستخلص: Purpose: This large retrospective, single-center, follow-up study investigated the endoscopic prelacrimal recess approach (PLRA) for treating maxillary sinus inverted papilloma (MSIP).
Methods: Between January 2007 and November 2022, patients with MSIP treated with PLRA were enrolled. Data on clinical manifestations, imaging, and surgical procedures were collected. The visual analog scale (VAS) scores for maxillofacial numbness and nasal symptoms and the SNOT-22 nasal symptom scores were statistically analyzed.
Result: Of 122 patients (68 males and 54 females) enrolled in the study, with a mean age of 50.75 ± 12.84 years (26-80 years), 111 patients underwent PLRA, nine underwent modified PLRA, one converted to an endoscopic medial maxillectomy (EMM), and one to an endoscopic modified Denker's approach. The average follow-up was 86.60 (13-192) months, the recurrence rate was 3.28%, and 29 patients (23.77%) complained of maxillofacial numbness one month postoperatively, which disappeared in most cases one year after surgery. Five patients (4.10%) experienced mild numbness at the end of the follow-up period. Maxillary sinus ostium contracture or atresia occurred in two cases (1.64%). After surgery, the VAS nasal symptom scores improved significantly (P < 0.001). SNOT-22 indicated that the most common postoperative symptom was thick nasal discharge.
Conclusion: PLRA is a flexible first-choice surgical treatment for maxillary sinus inverted papilloma and can be modified according to the extent of the lesion, the surgeon's experience and technique, and surgical instruments. That can help achieve complete resection and reduce recurrence and surgical complications. Upper teeth numbness, the most common postoperative complication, tends to disappear after 1 year.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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معلومات مُعتمدة: No. 2020-1-2051 The Capital Health Research and Development of Special; (NO. 82171107) National Natural Science Foundation of China
فهرسة مساهمة: Keywords: Complications; Inverted papilloma; Maxillary sinus; Nasal endoscopy; Prelacrimal recess approach; Quality of life
تواريخ الأحداث: Date Created: 20240325 Date Completed: 20240913 Latest Revision: 20240913
رمز التحديث: 20240913
DOI: 10.1007/s00405-024-08551-x
PMID: 38526576
قاعدة البيانات: MEDLINE
الوصف
تدمد:1434-4726
DOI:10.1007/s00405-024-08551-x