Septotomy: a useful approach to the anterior maxillary sinus

In endonasal surgery, approaching the anterior maxillary wall via the ipsilateral nostril is difficult. It is necessary to have good visual and instrument control when removing lesions such as inverted papilloma. We describe an approach through a temporary septotomy which provides good access from t...

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Bibliographic Details
Published in:Journal of laryngology and otology 2010-01, Vol.124 (1), p.77-79
Main Authors: Lesser, T H, Suryanarayanan, R
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Endoscopy
Endoscopy - methods
Female
Humans
Maxillary Sinus
Maxillary Sinus - surgery
Maxillary Sinusitis - surgery
Medical sciences
Middle Aged
Nasal Polyps - surgery
Nasal Septum
Nasal Septum - surgery
Otorhinolaryngology. Stomatology
Sinuses
Treatment Outcome
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Description
Summary:In endonasal surgery, approaching the anterior maxillary wall via the ipsilateral nostril is difficult. It is necessary to have good visual and instrument control when removing lesions such as inverted papilloma. We describe an approach through a temporary septotomy which provides good access from the contralateral nostril. The contralateral mucoperichondrial incision is anterior and the ipsilateral one posterior. The cartilage is hinged superiorly. There is minimal chance of perforation.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215109990740