Medial maxillectomy in recalcitrant sinusitis: when, why and how?

摘要: PURPOSE OF REVIEW We reviewed all journal articles relevant to endoscopic medial maxillectomy in patients with recalcitrant chronic maxillary sinusitis order present indications, the underlying pathophysiology and developed surgical techniques. RECENT FINDINGS Despite high success rate of middle meatal antrostomy, cases persistent sinus disease exist often need a more extended procedure for better control disease. Such option uses gravity drainage offers saline irrigation, local application medications follow-up inspection. An its modified forms offer wider field access 'difficult' areas sinus. SUMMARY Patients previous limited surgery or open surgery, cystic fibrosis, extensive mucoceles, allergic fungal sinusitis, odontogenic infections, foreign bodies so on may suffer from recurrent requiring an maxillectomy. Depending disease, various modifications can be performed preserving anterior buttress, nasolacrimal duct inferior turbinate if possible.