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1

Turfe, Z., K. Zhao, J. N. Palmer, and J. R. Craig. "Computational fluid dynamic modelling of maxillary sinus irrigation after maxillary antrostomy and modified endoscopic medial maxillectomy." Journal of Laryngology & Otology 135, no. 6 (2021): 555–59. http://dx.doi.org/10.1017/s0022215121000013.

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AbstractObjectiveFor recalcitrant chronic maxillary sinusitis, modified endoscopic medial maxillectomy has been shown to be clinically beneficial after failed maxillary antrostomy as endoscopic medial maxillectomy may offer improved topical therapy delivery. This study compared irrigation patterns after maxillary antrostomy versus endoscopic medial maxillectomy, using computational fluid dynamic modelling.Case reportA 54-year-old female with left chronic maxillary sinusitis underwent maxillary antrostomy, followed by endoscopic medial maxillectomy. Computational fluid dynamic models were creat
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Winther, Birgit, Christopher L. Vickery, Charles W. Gross, and J. Owen Hendley. "Microbiology of the Maxillary Sinus in Adults with Chronic Sinus Disease." American Journal of Rhinology 10, no. 6 (1996): 347–50. http://dx.doi.org/10.2500/105065896781794833.

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Antimicrobial therapy is a part of the care of patients with chronic sinus disease (CSD), but the etiologic role of microorganisms in this condition is unclear. Twenty patients with CSD undergoing functional endoscopic sinus surgery who had been off antibiotics for at least 1 week before surgery had a maxillary sinus aspirate for quantitative culture for aerobic bacteria and fungi and a semiquantitative culture from the antrostomy of the same maxillary sinus during endoscopic surgery. Six (30%) of the patients had infection of the maxillary sinus diagnosed by the presence of ≥ 103 cfu/mL of or
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3

Thomas, Robert D., Scott M. Graham, Keith D. Carter, and Jeffrey A. Nerad. "Management of the Orbital Floor in Silent Sinus Syndrome." American Journal of Rhinology 17, no. 2 (2003): 97–100. http://dx.doi.org/10.1177/194589240301700206.

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Background Enophthalmos in a patient with an opacified hypoplastic maxillary sinus, without sinus symptomatology, describes the silent sinus syndrome. A current trend is to perform endoscopic maxillary antrostomy and orbital floor reconstruction as a single-staged operation. A two-staged approach is performed at our institution to avoid placement of an orbital floor implant in the midst of potential infection and allow for the possibility that enophthalmos and global ptosis may resolve with endoscopic antrostomy alone, obviating the need for orbital floor reconstruction. Methods A retrospectiv
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4

Owen, R. Glen, and Frederick A. Kuhn. "The Maxillary Sinus Ostium: Demystifying Middle Meatal Antrostomy." American Journal of Rhinology 9, no. 6 (1995): 313–20. http://dx.doi.org/10.2500/105065895781808757.

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Locating the maxillary sinus ostium can be a problem in endoscopic middle meatal antrostomy. Patients requiring revision sinus surgery may be found to have the maxillary sinus ostium obstructed, or the previous antrostomy placed in the wrong location. The intricate lateral nasal wall anatomy can be difficult to translate into the two-dimensional endoscopic view. It is therefore understandable how finding the maxillary sinus ostium at times can be tedious. Inability to accurately identify the maxillary sinus ostium may preclude an appropriate middle meatal antrostomy, and predispose the patient
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5

Cho, Do-Yeon, and Peter H. Hwang. "Results of Endoscopic Maxillary Mega-antrostomy in Recalcitrant Maxillary Sinusitis." American Journal of Rhinology 22, no. 6 (2008): 658–62. http://dx.doi.org/10.2500/ajr.2008.22.3248.

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Background In patients with chronically diseased maxillary sinuses, poor mucociliary clearance may result from long-standing inflammation or scarring from previous surgery. This subset of patients often has persistent sinus disease despite medical therapy and adequate antrostomy. Endoscopic maxillary mega-antrostomy (EMMA) is a mucosal sparing technique that facilitates mucus clearance and sinus irrigation in terminally dysfunctional maxillary sinuses. EMMA involves extending the antrostomy through the posterior half of the inferior turbinate down to the floor of the nose, creating a significa
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6

Kim, Dong-Hyun, Jung-Hun Kown, Hyung-Bon Koo, and Jae-Hoon Lee. "Clinical Characteristics According to the Radiological Classifications of Maxillary Sinus Fungus Ball." Journal of Rhinology 29, no. 1 (2022): 32–37. http://dx.doi.org/10.18787/jr.2021.00392.

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Background and Objectives: The purpose of this study was to classify radiological findings of patients diagnosed with maxillary sinus fungus ball and to analyze the differences in surgical approach methods and postoperative results.Methods: As a retrospective study, we reviewed the medical records of 221 patients (unilateral in 216: bilateral in 5).Results: On computed tomography (CT), 49% of the lesions had an irregular surface or a protruding part. There was a significant difference in surgical approach according to pneumatization of the maxillary sinus when middle meatal antrostomy (MMA) wa
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7

Wong, Eugene, E. Ritter Sansoni, Timothy Quy-Phong Do, et al. "Cadaveric Assessment of the Efficacy of Sinus Irrigation After Staged Clearance of the Medial Maxillary Wall." American Journal of Rhinology & Allergy 34, no. 2 (2019): 290–96. http://dx.doi.org/10.1177/1945892419895172.

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Background Nasal irrigation is a significant component of effective medical management in patients with chronic rhinosinusitis (CRS). Irrigations facilitate distribution of topical medical therapies to affected mucosal surfaces and lavage of hypersecretory mucin and inflammatory products. Objective To compare the effectiveness of cadaveric nasal irrigation distribution and force following different surgical techniques commonly used to open the maxillary sinus. Methods Fresh human cadaver heads were dissected sequentially with uncinectomy, maxillary antrostomy, endoscopic maxillary mega-antrost
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8

Tomoum, M. O., M. H. Askar, A. H. Hamad, A. El-Naggar, and M. Amer. "Third window approach assisted middle meatal antrostomy: prospective cohort study of the two ports technique in management of hard to reach maxillary sinus pathology." Journal of Laryngology & Otology 134, no. 7 (2020): 636–41. http://dx.doi.org/10.1017/s0022215120001401.

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AbstractObjectiveThis study aimed to assess the outcomes of a prelacrimal recess approach assisted middle meatal antrostomy in the management of hard to reach maxillary sinus pathologies.MethodTwenty-five patients with maxillary sinus pathology underwent prelacrimal recess approach assisted middle meatal antrostomy (with a prelacrimal recess width of more than 3 mm). Patients were prospectively evaluated using both the Arabic version of the Sino-Nasal Outcome Test-22 and nasal endoscopy at least 6 months post-operatively.ResultsOur study included 25 maxillary sinuses (13 with antrochoanal poly
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9

Carpenter, Kevin M., Scott M. Graham, and Richard J. H. Smith. "Facial Skeletal Growth after Endoscopic Sinus Surgery in the Piglet Model." American Journal of Rhinology 11, no. 3 (1997): 211–17. http://dx.doi.org/10.2500/105065897781751929.

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This study examined the effects of varying degrees of endoscopic sinus surgery on the growing midface and snout in pigs. In this randomized, controlled experiment, thirty 40–60-pound pigs were placed in five experimental groups: (1) unilateral uncinectomy; (2) bilateral uncinectomy; (3) unilateral uncinectomy, anterior ethmoidectomy, maxillary antrostomy; (4) bilateral uncinectomy, anterior ethmoidectomy, maxillary antrostomy; (5) unoperated controls. Animals were killed after 3 months and growth was assessed, according to linear and spatial measurements of multiple craniofacial regions. Eucli
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10

Wofford, M. R., J. S. Kimbell, D. O. Frank-Ito, et al. "A computational study of functional endoscopic sinus surgery and maxillary sinus drug delivery." Rhinology journal 53, no. 1 (2015): 41–48. http://dx.doi.org/10.4193/rhino13.065.

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Background: Topical medication is increasingly used following functional endoscopic sinus surgery (FESS). Information on particle sizes that maximise maxillary sinus (MS) delivery is conflicting, and the effect of antrostomy size on delivery is unclear. The purpose of this study was to estimate antrostomy and particle size effects on topical MS drug delivery. Methodology: Sinonasal reconstructions were created from a pre- and a post-FESS CT scan in each of four chronic rhinosinusitis patients. Additional models were created from each post-FESS reconstruction representing four alternative antro
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11

Gocea, Anamaria, Marian Taulescu, Veronica Trombitas, and Silviu Albu. "Effects of Cryotherapy on the Maxillary Antrostomy Patency in a Rabbit Model of Chronic Rhinosinusitis." BioMed Research International 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/101534.

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It is acknowledged that many causes of failures in endoscopic sinus surgery are related to scarring and narrowing of the maxillary antrostomy. We assessed the effect of low-pressure spray cryotherapy in preventing the maxillary antrostomy stenosis in a chronic rhinosinusitis (CRS) rabbit model. A controlled, randomized, double-blind study was conducted on 22 New Zealand rabbits. After inducing unilateral rhinogenic CRS, a maxillary antrostomy was performed and spray cryotherapy was employed on randomly selected 12 rabbits, while saline solution was applied to the control group (n=10). The antr
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12

Dönmez, D., E. Giotakis, W. G. Hosemann, T. S. Kühnel, B. Hirt, and R. K. Weber. "Posterior translacrimal approach to the maxillary sinus." Journal of Laryngology & Otology 131, no. 10 (2017): 871–79. http://dx.doi.org/10.1017/s0022215117001621.

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AbstractBackground:This study aimed to compare the view into the maxillary sinus using the posterior translacrimal approach compared with grade 3 antrostomy.Methods:Grade 3 antrostomy followed by a posterior translacrimal approach was performed on four cadavers. The maximum intramaxillary view was documented endoscopically guided by electromagnetic navigation. Representative screenshots were evaluated in a blinded manner by three independent sinus surgeons. In addition, a prospective investigation of specific complications in the post-operative course of consecutive patients was performed.Resu
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13

Suzuki, M., T. Matsumoto, M. Yokota, K. Toyoda, and Y. Nakamura. "Transnasal inferior meatal antrostomy with a mucosal flap for post-Caldwell–Luc mucoceles in the maxillary sinus." Journal of Laryngology & Otology 133, no. 8 (2019): 674–77. http://dx.doi.org/10.1017/s0022215119001233.

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AbstractObjectiveTransnasal inferior meatal antrostomy is increasingly used for the treatment of post-Caldwell–Luc mucoceles in maxillary sinus. This study aimed to report the outcomes after inferior meatal antrostomy with a mucosal flap for recurrent mucoceles.MethodThe records of patients who had undergone transnasal inferior meatal antrostomy with or without a mucosal flap were reviewed.ResultsTransnasal endoscopic inferior meatal antrostomy with or without a mucosal flap was performed in 21 and 49 patients, respectively. No complications were observed. A closing of the antrostomy was found
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14

Friedman, William H., George P. Katsantonis, and Alexander London. "Palatal extension of middle meatal antrostomy." Otolaryngology–Head and Neck Surgery 107, no. 6_part_1 (1992): 751–54. http://dx.doi.org/10.1177/019459988910700607.1.

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The palatine bone is an Important posterior landmark in the performance of ethmoldectomy. This usually unrecognized structure forms the posterior one third of the lateral nasal wall. Resection of a portion of the palatine bone completes the marsupialization of the sphenoethmoidal recess and medial maxilla. It is a major landmark for localization of the sphenopalatine artery at its entrance into the nose. Middle meatal antrostomy is enhanced by removal of the part of the palatine bone that forms the posterior medial wall of the maxillary sinus. In 1110 consecutive sphenoethmoldectomles, marsupi
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15

Ananthapadmanabhan, Saikrishna, Anthony Noor, and Niranjan Sritharan. "Prelacrimal Window Approach in the Management of Odontogenic Maxillary Sinusitis from Dental Foreign Body." Case Reports in Dentistry 2022 (September 12, 2022): 1–6. http://dx.doi.org/10.1155/2022/1730656.

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The floor of the maxillary sinus is partly formed by the alveolar process of the maxilla, and this anatomical relationship forms an interface for collaboration between rhinologists, maxillofacial and dental surgeons, and dentists. Odontogenic maxillary sinusitis (ODMS) occurs secondary to infectious processes of the maxillary molar and premolar teeth or following complications from dental procedures. Extruded dental foreign bodies within the sinus can cause chronic mucosal irritation leading to mucociliary dysfunction and sinogenic symptoms. Anteriorly placed foreign bodies are difficult to ac
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16

Michel, J., T. Radulesco, M. Penicaud, and P. Dessi. "Extended inferior antrostomy for maxillary sinus surgery." Clinical Otolaryngology 43, no. 2 (2017): 786–88. http://dx.doi.org/10.1111/coa.12924.

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Shikani, Alan H. "Middle Meatal Antrostomy Stenting following Pediatric Endoscopic Sinus Surgery." American Journal of Rhinology 10, no. 4 (1996): 225–28. http://dx.doi.org/10.2500/105065896782103072.

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Functional endoscopic sinus surgery in the pediatric population is similar to surgery in adults, yet different in many ways. The smaller size of the surgical field, the lesser extent of pneumatization of the sinuses, and the rapidity of the healing process in children result in a higher occurrence of synechiae and of closure of the middle meatal antrostomy. In addition, a second general anesthesia is often necessary, as children do not tolerate the pain of suctioning in the office. An ostiomeatal stent that has previously proved effective in adults is evaluated in 40 children who underwent bil
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18

Schwartz, Ilsa, Michael S. Benninger, Janet Kaczor, and Chad Stone. "Natural Ostiotomy Vs. Inferior Antrostomy in the Management of Sinusitis: An Animal Model." Otolaryngology–Head and Neck Surgery 109, no. 6 (1993): 1034–42. http://dx.doi.org/10.1177/019459989310900611.

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An animal model was used to compare the surgical treatment of chronic sinusitis by opening the natural ostium vs. inferior antrostomy. Fifteen rabbits had surgical occlusion of the natural maxillary sinus ostia to induce sinusitis. At a second operation, the sinuses were entered and In each animal the natural ostia was reopened on one side and an Inferior antrostomy was performed on the opposite sinus. Eight weeks after these operations the sinuses were evaluated. No differences were found in antrostomy patency rates, gross evidence of acute or chronic inflammation, or light or electron micros
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19

Myller, J., P. Dastidar, T. Torkkeli, M. Rautiainen, and S. Toppila-Salmi. "Computed tomography findings after endoscopic sinus surgery with preserving or enlarging maxillary sinus ostium surgery." Rhinology journal 49, no. 4 (2011): 438–44. http://dx.doi.org/10.4193/rhino10.111.

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Endoscopic sinus surgery (ESS) is the main surgical approach in the treatment of chronic rhinosinusitis (CRS) after failure of medical treatment. ESS is based on the theory that obstruction of the maxillary sinus ostium is mainly behind the pathogenesis of CRS. Controversy remains concerning the enlargement of the natural maxillary sinus ostium. The aim of this study was to compare computed tomography (CT) findings after preservation or enlargement of the maxillary sinus ostium. Thirty patients with non-polypous CRS underwent randomized endoscopic sinus surgery with uncinectomy on one side and
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20

Choudhury, Natasha, and Joe Marais. "The Silent Sinus Syndrome: A Clinical Review." An International Journal Clinical Rhinology 3, no. 2 (2010): 69–72. http://dx.doi.org/10.5005/jp-journals-10013-1030.

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Abstract Silent sinus syndrome (SSS) is a rare and interesting clinical condition that is associated with spontaneous, painless, unilateral enophthalmos and hypoglobus resulting from downward bowing of the orbital floor, in the absence of any symptomatic sinonasal disease. It generally affects younger patients between the third and fifth decades of life. The pathogenesis of silent sinus syndrome is based on chronic maxillary sinus obstruction, related to occlusion of the maxillary infundibulum which results in a hypoventilated sinus and negative pressures. Endoscopic sinus surgery to create a
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21

Brkovic, Bozidar, and Milan Radulovic. "Balloon -catheter usage in maxillary sinus surgery: Case report." Serbian Dental Journal 53, no. 1 (2006): 65–70. http://dx.doi.org/10.2298/sgs0601065b.

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Introduction: The postoperative drainage and the postoperative bleeding from maxillary sinus cavity have been controlled after functional sinus surgery. It has usually been done using the band of iodize gauze squeezed through the temporary opening in the vestibular mucosa or through the inferior meatal antrostomy. The aim of this study was to present the use of balloon-catheter in maxillary sinus surgery intendend for control of postoperative drainage and bleeding. Case report: Balloon-catheter was used in one female who was treated for anemia after chemotherapy and with allergy to iodine. It
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22

Albu, Silviu, and Alina Gabriela Dutu. "Concurrent middle and inferior meatus antrostomy for the treatment of maxillary mucoceles." Medicine and Pharmacy Reports 90, no. 4 (2017): 392–95. http://dx.doi.org/10.15386/cjmed-775.

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Background and aims. This study describes the technique of simultaneous middle and inferior antrostomy and outlines its usefulness in the management of maxillary mucoceles.Methods. This is a retrospective review of 12 consecutive patients with isolated maxillary mucocele operated on by means of middle and inferior antrostomy technique. We describe the clinical picture, details of the surgical technique and outcomes.Results. There were 7 males and 5 females with ages ranging from 20 years to 65 years (mean 42 years). One patient had past trauma to the face and one had a long history of chronic
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Hassab, Mohammed H., and David W. Kennedy. "Maxillary Sinus Ostioplasty versus Nasal-Antral Window in Maxillary Sinusitis: An Experimental Study." American Journal of Rhinology 10, no. 6 (1996): 357–64. http://dx.doi.org/10.2500/105065896781794761.

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The performance of a maxillary antrostomy through the natural ostium of the maxillary sinus has been debated in the literature over the years. However, much of the argument against middle meatal antrostomy has been based primarily upon animal studies in which there was a patent maxillary sinus ostium. A detailed study was therefore undertaken to evaluate the effects of both ostioplasty and nasal antral window in an animal model with maxillary sinus ostial obstruction. Twenty Pasteurella-free White New Zealand Rabbits underwent unilateral ostial occlusion with Histoacryl®. The sinuses were reex
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Shkorbotun, Ya V. "CLINICAL AND RADIOLOGICAL FEATURES OF THE MAXILLARY SINUS IN PATIENTS AFTER REMOVAL OF FUNGAL BALL AND THEIR IMPACT ON THE FREQUENCY OF SUBANTRAL BONE AUGMENTATION COMPLICATIONS." Клінічна та профілактична медицина 3, no. 17 (2021): 13–20. http://dx.doi.org/10.31612/2616-4868.3(17).2021.02.

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Abstract. The mucoperiostitis and local osteitis are radiological symptoms of the fungal ball of the maxillary sinuses. The condition of the mucoperiosteum and the adjacent bone in the alveolar bay of the maxillary sinus predict the results of dental implantation and subantral augmentation. The endoscopic access to the sinus by the antrostomy in the middle meatus and infraturbinal have been used to avoid excessive tissue injury during the removal of the fungal ball.
 Aim: To assess the condition of the bone and mucoperiosteum of the maxillary sinus in patients with fungal ball after rhino
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Kennedy, David W., and Hisham Shaalan. "Reevaluation of Maxillary Sinus Surgery: Experimental Study in Rabbits." Annals of Otology, Rhinology & Laryngology 98, no. 11 (1989): 901–6. http://dx.doi.org/10.1177/000348948909801112.

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Functional endoscopic sinus surgery concentrates primarily on the removal of ostiomeatal complex disease. When required, maxillary sinus ostioplasty is performed. However, surgical widening of a sinus ostium is contrary to common precepts. A study therefore was performed to reevaluate the effects of antrostomies and of intrasinus mucosal removal. Widening of the natural ostium, a separate antrostomy at some distance from the ostium, or radical mucosal removal was performed on 30 rabbits. Fifteen sinuses were used as controls. After 6 to 8 weeks the status of the sinus mucosa and mucociliary cl
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Cho, Ki Ju, Hyun-Jin Cho, Yeon-Hee Joo, Yung Jin Jeon, Sea-Yuong Jeon, and Sang-Wook Kim. "Endoscopic Trans-Turbinal Medial Maxillectomy: A Modified Endoscopic Medial Maxillectomy Technique to Preserve the Inferior Turbinate." Korean Journal of Otorhinolaryngology-Head and Neck Surgery 64, no. 12 (2021): 959–64. http://dx.doi.org/10.3342/kjorl-hns.2021.00654.

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Endoscopic medial maxillectomy (EMM) and its modifications are surgical techniques are used to treat recalcitrant maxillary sinusitis as well as maxillary sinus tumors. In this report, we propose a simple and efficient modification of EMM, called endoscopic trans-turbinal medial maxillectomy (ETTMM), by which the inferior turbinate (IT), nasolacrimal duct, and anatomical integrity of the nasal valve area are preserved. A total of 10 patients (five tumorous and five nontumorous maxillary diseases) underwent ETTMM. Briefly, a turbinate mucosal flap on the superior aspect of the IT was elevated a
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Peric, Aleksandar, Milanko Milojevic, Aleksandar Ljubicic, and Jelena Sotirovic. "Endoscopic middle meatal antrostomy in treatment of maxillary sinus mucoceles." Vojnosanitetski pregled 66, no. 3 (2009): 207–11. http://dx.doi.org/10.2298/vsp0903207p.

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Background/Aim. Mucocele of a paranasal sinus is a benign non-neoplastic condition characterized by cystic expansion and distension of the sinus cavity by retained mucoid secretions. Etiology is unknown. The purpose of this study was to estimate the efficiency of the endoscopic middle meatal antrostomy (MMA) as a treatment modality in patients with maxillary sinus mucoceles. Methods. This retrospective study involved 11 patients with maxillary sinus mucoceles/pyoceles treated endoscopically in the Clinic for Otorhinolaryngology of Military Medical Academy, Belgrade over a 3-year period (2005-2
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Sivasubramaniam, R., R. Sacks, and M. Thornton. "Silent sinus syndrome: dynamic changes in the position of the orbital floor after restoration of normal sinus pressure." Journal of Laryngology & Otology 125, no. 12 (2011): 1239–43. http://dx.doi.org/10.1017/s0022215111001952.

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AbstractBackground:Silent sinus syndrome is characterised by spontaneous enophthalmos and hypoglobus, in association with chronic atelectasis of the maxillary sinus, and in the absence of signs or symptoms of intrinsic sinonasal inflammatory disease. Traditionally, correction of the enophthalmos involved reconstruction of the orbital floor, which was performed simultaneously with sinus surgery. Recently, there has been increasing evidence to support the performance of uncinectomy and antrostomy alone, then orbital floor reconstruction as a second-stage procedure if needed.Methods:We performed
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Beswick, Daniel M., Kenneth D. Rodriguez, Cristen E. Olds, Jason I. Kass, and Barry M. Schaitkin. "Quantification of Maxillary Sinus Accessibilityviaa Middle Meatal Antrostomy." American Journal of Rhinology & Allergy 29, no. 5 (2015): 394–96. http://dx.doi.org/10.2500/ajra.2015.29.4203.

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Eibling, David E. "The maxillary sinus ostium: Demystifying middle meatal antrostomy." American Journal of Otolaryngology 18, no. 2 (1997): 157. http://dx.doi.org/10.1016/s0196-0709(97)90113-7.

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Luukkainen, Annika, Jyri Myller, Tommi Torkkeli, Markus Rautiainen, and Sanna Toppila-Salmi. "Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique." ISRN Otolaryngology 2012 (June 18, 2012): 1–8. http://dx.doi.org/10.5402/2012/189383.

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Background. Endoscopic sinus surgery (ESS) is considered for chronic rhinosinusitis (CRS) after failure of conservative therapy. Objective. The aim of this study was to evaluate endoscopically ostium patency and mucosal recovery after ESS, with either maxillary sinus ostium-preserving or -enlarging techniques. Materials and Methods. Thirty patients with non-polypous CRS were enrolled. Uncinectomy-only and additional middle meatal antrostomy were randomly and single-blindly performed for each side. Pre- and postoperative endoscopic scores were semi-quantitatively determined according to finding
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Dimic, Aleksandar, Bozidar Brkovic, Milan Erdoglija, Ugljesa Grgurevic, Jelena Sotirovic, and Dejan Rasic. "Endoscopic antrostomy in the treatment of odontogenic maxillary sinusitis - two cases report." Vojnosanitetski pregled 75, no. 11 (2018): 1123–27. http://dx.doi.org/10.2298/vsp160921011d.

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Introduction. Maxillary sinusistis of odontogenic origin is a wellknown condition that occurs due to close relationship of the maxillary posterior teeth to the maxillary sinus. We presented two patients with symptoms and signs of chronic inflammation of the maxillary sinus of odontogenic origin. Case report. In both patients, after clinical examination, microbiological testing, skin prick tests to inhalant allergens, and endoscopy of the nasal cavity, we performed the cone beam computed tomography (CBCT) of paranasal sinuses, which showed thickening of the mucosal lining of the maxillary sinus
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Munakata, Motohiro, Noriko Tachikawa, Yoko Yamaguchi, Minoru Sanda, and Shohei Kasugai. "The Maxillary Sinus Floor Elevation Using a Poly-L-Lactic Acid Device to Create Space Without Bone Graft: Case Series Study of Five Patients." Journal of Oral Implantology 42, no. 3 (2016): 278–84. http://dx.doi.org/10.1563/aaid-joi-d-14-00250.

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Maxillary sinus floor elevation using autologous or alloplastic bone grafting is often performed for implant treatment of maxillary molars; however, issues related to the donor site and complications such as infection have been reported. We performed maxillary sinus floor elevation using poly-L-lactic acid (PLLA) as a space-making material in patients with an insufficient bone mass (<3 mm) for simultaneous implantation between the alveolar crest and floor of the maxillary sinus and evaluated the newly formed bone. Conventional antrostomy of the maxillary sinus from the lateral wall was
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Sakaguchi, Masanori, Kumiko Moriya, Kiichiro Taguchi, and Satoshi Katsuno. "Bilateral carcinomas of the maxillary sinus." Journal of Laryngology & Otology 107, no. 1 (1993): 42–43. http://dx.doi.org/10.1017/s0022215100122108.

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AbstractWe report a 68-year-old male with a rare case of synchronous bilateral carcinomas of the maxillary sinus. A CT scan revealed a large tumour mass that extruded from the left maxillary sinus; tissue of soft density filled the right antrum which had intact bony walls. A probe antrostomy on the right side disclosed a tumour which was diagnosed histologically as the same poorly differentiated squamous cell carcinoma as that in the left antrum. The incidence and aetiology of this disorder are presented, and its diagnosis and management are discussed.
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Kim, Hyo Jun, Ji Ho Choi, and Jae Yong Lee. "Evaluation of Recurrent Maxillary Sinusitis due to Middle Meatal Antrostomy Site Stenosis." Annals of Otology, Rhinology & Laryngology 129, no. 10 (2020): 964–68. http://dx.doi.org/10.1177/0003489420929365.

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Objective: This study was performed to evaluate the incidence, timing, and factors contributing to recurrent maxillary sinusitis due to middle meatal antrostomy (MMA) site stenosis after endoscopic sinus surgery (ESS). Methods: The medical records and endoscopic photographs of 288 patients with chronic rhinosinusitis who underwent ESS were evaluated. Patients visited the clinic with similar schedule after ESS; recurrent maxillary sinusitis due to MMA site stenosis was investigated, including in terms of the incidence and timing. The preoperative computed tomography (CT) scans, intraoperative f
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Tribich, Samuel, Colin J. Mahoney, and Nicholas W. Davies. "Silent sinus syndrome: an unusual case of facial numbness." Practical Neurology 18, no. 6 (2018): 494–96. http://dx.doi.org/10.1136/practneurol-2017-001807.

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A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists wi
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Sawatsubashi, M., D. Murakami, T. Umezaki, and S. Komune. "Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis." Journal of Laryngology & Otology 129, S2 (2015): S52—S55. http://dx.doi.org/10.1017/s0022215114002394.

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AbstractObjective:The purpose of this study was to evaluate the effectiveness of the combination of inferior and middle meatal antrostomies for treatment of a maxillary sinus fungus ball by functional endoscopic sinus surgery.Methods:A retrospective analysis including 28 patients with non-invasive fungal maxillary sinusitis was performed. Fourteen patients underwent FESS with both middle and inferior meatal antrostomies (combined group). The remaining 14 patients were treated with FESS through only the middle meatal antrostomy (control group).Results:Post-operative computed tomography showed n
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Gary, J. Nishioka. "Early clinical experience using the maxillary sinus antrostomy in "office rhinology"- currently dominated by balloon sinus dilation." Archives of Otolaryngology and Rhinology 4, no. 2 (2018): 044–47. https://doi.org/10.17352/2455-1759.000074.

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Background: Is there a role for the maxillary sinus anstrostomy (MSA) in office rhinology which currently is dominated by balloon dilation (BSD)? Introduction: The objective of this study was to retrospectively examine “office rhinology” patients who underwent in-office MSAs and identify relevant qualitative differences when compared to patients who underwent a maxillary BSD procedure, “independent” of clinical outcome or efficacy. Methods: A retrospective chart review was performed over a two-year interval and 5 patients were identified who underwent bilateral MSAs (10
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Kim, Alexander S., Amanda L. Willis, Daniel Laubitz, et al. "The effect of maxillary sinus antrostomy size on the sinus microbiome." International Forum of Allergy & Rhinology 9, no. 1 (2018): 30–38. http://dx.doi.org/10.1002/alr.22224.

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Shapiro, Scott, Jamie L. Schaefer, Sumeet Gupta, John Nguyen, and Brian Kellermeyer. "Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery." Case Reports in Otolaryngology 2018 (July 2, 2018): 1–4. http://dx.doi.org/10.1155/2018/4620510.

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Orbital complications are known risks of endoscopic sinus surgery (ESS). The lamina papyracea and medial rectus muscle are the most commonly injured structures during ESS. Inferior rectus injury is more rare, with only one reported case of isolated inferior rectus injury in the literature. Guidelines for managing ESS-induced inferior rectus injury do not exist, and delayed intervention and management of adjacent sinuses may affect long-term outcomes such as persistent diplopia and disfigurement. In this report, we present a case of a 67-year-old man with diplopia due to isolated left inferior
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Kwiatkowska, Marta Aleksandra, Kornel Szczygielski, Dariusz Jurkiewicz, and Piotr Rot. "Extent of Endoscopic Sinus Surgery for Odontogenic Sinusitis of Endodontic Origin with Ethmoid and Frontal Sinus Involvement." Journal of Clinical Medicine 13, no. 20 (2024): 6204. http://dx.doi.org/10.3390/jcm13206204.

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Background/Objectives: Odontogenic sinusitis (ODS) is the most common cause of unilateral maxillary sinus opacification. Initial treatment consists of intranasal steroids and antimicrobial therapy. In case of persistence of the disease, endoscopic sinus surgery (ESS) is advised. It is still not clear what extension of ESS is required and whether frontal sinusotomy or ethmoidectomy is justified in ODS with frontal sinus involvement. Methods: Adult patients presented with uncomplicated recalcitrant bacterial ODS due to endodontic-related dental pathology were evaluated by an otolaryngologist and
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Whittet, H. B. "Infraorbital Nerve Dehiscence: The Anatomic Cause of Maxillary Sinus “Vacuum Headache”?" Otolaryngology–Head and Neck Surgery 107, no. 1 (1992): 21–28. http://dx.doi.org/10.1177/019459989210700104.

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Vacuum disorders of the paranasal sinuses are well described. Patients with facial pain in the distribution of the infraorbital nerve are often labelled as suffering from a “vacuum maxillary sinusitis” and empirically treated by intranasal antrostomy. A varie of mechanisms have been postulated for the production of symptoms in this condition, but all ignore the fact that the maxillary sinus is a relatively insensitive structure. This article introduces a dehiscence of the bony infraorbital nerve canal within the antrum as an anatomic variant and suggests that it may provide the anatomic basis
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Boyd, James H., Karen Yaffee, and John Holds. "Maxillary Sinus Atelectasis with Enophthalmos." Annals of Otology, Rhinology & Laryngology 107, no. 1 (1998): 34–39. http://dx.doi.org/10.1177/000348949810700107.

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Chronic maxillary sinusitis may present as atelectasis of the sinus with changes to surrounding structures. Several mechanisms have been proposed for this problem. Chronic obstruction of the sinus ostium, with resultant retention of secretions and osteitic bone resorption, may account for these changes. Enophthalmos is one manifestation that may require corrective treatment. Titanium micromesh reconstruction of the orbital floor, with or without onlay concha cartilage, has reliably resolved the enophthalmos. Reconstruction of the orbital floor and ventilation of the obstructed sinus ostium may
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Luay Thanoon, Sara, Mohd Shawal Firdaus Mohamad, and Luay Thanoon Younis. "Lost in Space - Caldwell Luc Antrostomy for Retrieving Displaced Root into Maxillary Sinus: A Case Report." Compendium of Oral Science 10, no. 2 (2023): 102–7. http://dx.doi.org/10.24191/cos.v10i2.23648.

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The palatal root of the first permanent molar is the most commonly deflected root into the maxillary sinus during extraction. A rational approach to the surgical removal of a root from the antrum is important. Some surgeons prefer the alveolar approach while others prefer the Caldwell-Luc operation. In this report, a case was presented where the palatal root tip of the right upper first molar was displaced into the right maxillary sinus during simple extraction of the tooth which was later successfully removed from the maxillary sinus by the Caldwell-Luc approach. CBCT was used to locate and r
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Bouthenet, Franklin, Samy Amroun, and Narcisse Zwetyenga. "Combined local flap and antrostomy in recurrent oroantral fistula and chronic maxillary atelectasis: a case report." Journal of Oral Medicine and Oral Surgery 27, no. 3 (2021): 42. http://dx.doi.org/10.1051/mbcb/2021020.

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Introduction: Chronic maxillary atelectasis refers to a persistent volume decrease of the maxillary sinus by inward bowing of its walls. When associated with hypoglobus or enophthalmos, some authors use the term “silent sinus syndrome”. We aimed to report a case of accidental diagnosis of chronic maxillary atelectasis while investigating and treating a recurrent oroantral fistula. Observation: CT imaging showed a large bone defect and stage II chronic maxillary atelectasis. Closure of the oroantral fistula was performed with a combined surgical approach: functional endoscopic surgery and bucca
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Han, Seung Cheol, Yang Na, and Tae-Bin Won. "The Effects of Various Maxillary Sinus Antrostomy Techniques on Modifying the Ventilation and Air-Conditioning Characteristics of the Maxillary Sinus: A Numerical Study." Journal of Rhinology 30, no. 2 (2023): 87–97. http://dx.doi.org/10.18787/jr.2023.00027.

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Background and Objectives: Endoscopic sinus surgery is commonly performed for maxillary sinus (MS) disease, and the surgical extent of the MS medial wall or ostium varies. We examined the effect of MS surgery on nasal airflow and air-conditioning using computational fluid dynamics in five nasal cavity numerical models.Methods: Four types of unilateral virtual MS surgery were conducted on the right MS based on computed tomography images of a 49-year-old man with normal anatomy. The five models were as follows: baseline (normal), middle meatal antrostomy (MMA), MMA with inferior meatal antrostom
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Ference, Elisabeth H., James W. Schroeder, Hannan Qureshi, et al. "Current Utilization of Balloon Dilation versus Endoscopic Techniques in Pediatric Sinus Surgery." Otolaryngology–Head and Neck Surgery 151, no. 5 (2014): 852–60. http://dx.doi.org/10.1177/0194599814545442.

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Objectives To study the utilization of balloon catheter dilation (BCD) compared to traditional endoscopic surgery (ESS) in pediatric patients. Study Design Cross-sectional analysis. Setting Hospital and freestanding ambulatory surgery centers in California, Florida, Maryland, and New York Subjects Patients less than 18 years who underwent BCD(316) or ESS(2346), as identified by CPT codes from the State Ambulatory Surgery Databases 2011. Methods Patient and facility demographics, mean charges, and operating room time were examined using bivariate and multivariate analyses. Results A total of 26
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Choi, Yeonjoo, Bo-Hyung Kim, Sung-Ho Kang, and Myeong Sang Yu. "Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis." American Journal of Rhinology & Allergy 33, no. 6 (2019): 634–39. http://dx.doi.org/10.1177/1945892419857018.

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Background/objective The aim of this study was to evaluate the usefulness of simultaneous middle and inferior meatal antrostomies (SMIAs) as a treatment modality in patients with maxillary fungal sinusitis and to compare the efficacy of SMIA with that of conventional middle meatal antrostomy (MMA). Methods A retrospective study was performed on consecutive patients with noninvasive fungal maxillary sinusitis. Twenty-one patients underwent endoscopic sinus surgery with SMIA group and the remaining 24 patients were treated with the conventional MMA group. Medical records were reviewed for histor
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Reddy, Malae Sindhuja, Ganganamoni Rajamohan, and Saai Ram Thejas. "Foreign Body of the Maxillary Sinus Predisposing to Fungal Sinusitis in a Diabetic Individual: An Uncommon Presentation." Telangana Journal of IMA 5, no. 1 (2025): 25–27. https://doi.org/10.4103/tjima.tjima_4_25.

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Foreign bodies in the paranasal sinuses are rare, often iatrogenic, with the maxillary sinus being the most commonly affected, typically following dental procedures. This case report discusses a 56-year-old woman with uncontrolled Type 2 Diabetes Mellitus who presented with right eye pain, leading to the incidental discovery of dental screws displaced into her maxillary sinuses. Following thorough Ophthalmology workup, Otorhinolaryngology evaluation and imaging studies, there were multiple screws within the right maxillary sinus and left middle meatus, causing mucosal thickening and inflammati
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Ashman, A., A. J. Psaltis, P. J. Wormald, and N. C.-W. Tan. "Extended endoscopic approaches to the maxillary sinus." Journal of Laryngology & Otology 134, no. 6 (2020): 473–80. http://dx.doi.org/10.1017/s0022215120000882.

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AbstractObjectivesTreatment of inflammatory and neoplastic disease in the maxillary sinus, pterygopalatine and infratemporal fossae requires appropriate surgical exposure. As modern rhinology evolves, so do the techniques available. This paper reviews extended endoscopic approaches to the maxillary sinus and the evidence supporting each technique.MethodsA literature search of the Ovid Medline and PubMed databases was performed using appropriate key words relating to endoscopic approaches to the maxillary sinus.ResultsMega-antrostomy and medial maxillectomy have a role in the surgical treatment
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