Background: The nasopharyngeal and parapharyngeal spaces are difficult for surgeons to access. Of the various external routes described, the maxillary swing has emerged as the gold standard because of its simplicity. However, its morbidity has led to the development of less invasive techniques. The purpose of our study was to compare the surgical anatomy of the maxillary swing with that of the endoscopic endonasal approach.
Methods: Each procedure was performed on 10 anatomic specimens. The exposure and the limits obtained were evaluated. A CT scan analysis was performed.
Results: The endoscopic endonasal approach extended the limits, offering wider exposure. The endoscopic endonasal approach made possible better visualization of deep structures and precise dissection of the parapharyngeal spaces. However, the maxillary swing provided better access to the oropharynx and could be completed 3 times faster.
Conclusion: The endoscopic endonasal approach provides excellent exposure, a wide dissection range, and precise definition of anatomic structures, making it an alternative of choice rather than the maxillary swing approach.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/hed.25092 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pterygopalatine Catecholamine-Secreting Paraganglioma: A Diagnostic and Therapeutic Challenge.
Ear Nose Throat J
November 2024
Department of Otorhinolaryngology, Al Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.
Paragangliomas are rare neuroendocrine tumors originating from the paraganglia. They are mostly benign, slow-growing, and non-secretory. This report describes a rare case of a catecholamine-secreting paraganglioma located in the pterygopalatine fossa.
View Article and Find Full Text PDFSkull Base Chordoma in a Young Lady - A Tale of Mismanagement and Redemption: A Case Report and Review of Literature.
Indian J Otolaryngol Head Neck Surg
October 2024
Department of Head and Neck Surgery, Dr B Borooah Cancer Institute, Guwahati, India.
Skull base chordomas are a rare entity that requires multidisciplinary decision-making for management. We report a case wherein the patient was initially mismanaged at a peripheral centre, and was then redeemed by a multidisciplinary tumor board decision-making and specialized surgical procedures. We also present a brief review of the therapeutic options.
View Article and Find Full Text PDFLong-term results of nasolacrimal duct and inferior turbinate swing technique for inverted papilloma of the maxillary sinus.
SAGE Open Med
August 2024
Faculty of Medicine and Graduate School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Hokkaido University, Sapporo, Japan.
Article Synopsis
- A new surgical technique was developed to preserve the nasolacrimal duct and inferior turbinate during the treatment of sinonasal inverted papilloma, which involves swinging these structures upward and backward.
- A study on 53 patients showed no recurrences in the maxillary sinus and successful preservation of the nasolacrimal duct in all but one case, indicating the technique's effectiveness.
- The method was found to have low complication rates, with no significant adverse effects reported, making it a safe option for treating inverted papilloma.
An Innovative Approach for Management of Unfavorable Bilateral Mandibular Lingual Undercuts With Collapsible Type Complete Denture: A Case Report.
Cureus
July 2024
Department of Prosthodontics, Rathinavel Subramaniam College of Arts and Science (RVS) Dental College and Hospital, Coimbatore, IND.
Advanced and uneven residual ridge resorption in mandibular edentulous arches leads to non-retentive and unstable dentures. The hardness of traditional heat-cured acrylic resin makes extending the denture base into bilateral lingual undercuts challenging. This can cause supporting tissue damage, pain, and ulcerations during denture insertion and removal.
View Article and Find Full Text PDFPre-auricular Subtemporal Approach for Intracranial Angiofibroma.
Iran J Otorhinolaryngol
March 2024
Department of Otorhinolaryngology Head and Neck Surgery, NEIGRIHMS, Shillong, Meghalaya, India.
Introduction: In around 10-20% of angiofibroma cases, the tumor penetrates the skull base to involve intracranial structures, posing difficulty in treating them surgically. Today, advancement in skull base surgery has brought about a paradigm shift, and extensive angiofibroma tumors with intracranial extension are approached surgically today with minimal morbidity.
Materials And Methods: This study was a retrospective analysis of angiofibroma with significant intracranial extension Radkowski staging IIIb from 2011 to 2021 who came to our center.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!