Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus

For treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new...

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Main Authors: Kota Wada, Takashi Ishigaki, Yutaro Ida, Yuki Yamada, Sachiko Hosono, Hideo Edamatsu
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/952923
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author Kota Wada
Takashi Ishigaki
Yutaro Ida
Yuki Yamada
Sachiko Hosono
Hideo Edamatsu
author_facet Kota Wada
Takashi Ishigaki
Yutaro Ida
Yuki Yamada
Sachiko Hosono
Hideo Edamatsu
author_sort Kota Wada
collection DOAJ
description For treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new surgical approach named endoscopic modified medial maxillectomy (EMMM) was proposed. This approach can preserve the inferior turbinate and nasolacrimal duct. We successfully treated sinonasal IP with EMMM in a 71-year-old female patient. In this patient, the sinonasal IP originated from the entire circumference of the maxillary sinus. EMMM is not a difficult procedure and provides good visibility of the operative field. Lacrimation and empty nose syndrome do not occur postoperatively as the nasolacrimal duct and inferior turbinate are preserved. EMMM is considered to be a very favorable approach for treatment of sinonasal IP.
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publishDate 2015-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-53fb1cbc49354705a2942aaf68f1ed5e2025-02-03T01:32:12ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/952923952923Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary SinusKota Wada0Takashi Ishigaki1Yutaro Ida2Yuki Yamada3Sachiko Hosono4Hideo Edamatsu5Department of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanDepartment of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanDepartment of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanDepartment of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanDepartment of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanDepartment of Otorhinolaryngology, Toho University, 6-11-1 Omori-Nishi, Ota-ku, Tokyo 143-8541, JapanFor treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new surgical approach named endoscopic modified medial maxillectomy (EMMM) was proposed. This approach can preserve the inferior turbinate and nasolacrimal duct. We successfully treated sinonasal IP with EMMM in a 71-year-old female patient. In this patient, the sinonasal IP originated from the entire circumference of the maxillary sinus. EMMM is not a difficult procedure and provides good visibility of the operative field. Lacrimation and empty nose syndrome do not occur postoperatively as the nasolacrimal duct and inferior turbinate are preserved. EMMM is considered to be a very favorable approach for treatment of sinonasal IP.http://dx.doi.org/10.1155/2015/952923
spellingShingle Kota Wada
Takashi Ishigaki
Yutaro Ida
Yuki Yamada
Sachiko Hosono
Hideo Edamatsu
Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
Case Reports in Otolaryngology
title Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
title_full Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
title_fullStr Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
title_full_unstemmed Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
title_short Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus
title_sort endoscopic modified medial maxillectomy for resection of an inverted papilloma originating from the entire circumference of the maxillary sinus
url http://dx.doi.org/10.1155/2015/952923
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