was performed during the enucleation procedure.
In our case, the patient was taken to surgery and underwent a right maxillary antrostomy
and polyp exterbation with curetting of mucosa in the maxillary sinus.
The patient underwent right-sided, limited functional endoscopic sinus surgery in our outpatient clinic, including uncinectomy, wide maxillary antrostomy
, and removal of fungal debris.
The patient then underwent surgery with anterior antrostomy
(canine fossa puncture or Caldwell Luc procedure) with general or local anesthesia conducted by the rhinology division of the Otorhinolaryngology Head and Neck Surgery Department at Saiful Anwar General Hospital.
Surgical techniques in all these patients involved maxillary antrostomy
, anterior ethmoi-dectomy, and transnasal uncinectomy, while maxillary antrostomy
and total ethmoi-dectomy was also done6-10.
Right uncinectomy, right antrostomy
and right anterior ethmoidectomy were done.
A bifrontal craniotomy was performed by the neurosurgery team and bilateral maxillary antrostomy
, ethmoidectomy, and sphenoidotomy were performed by otolaryngology along with resection of the tumor under endoscopic guidance.
In this report of a case, we (1) describe a patient who suffered orbital floor injury and isolated inferior rectus muscle damage from ESS, (2) endoscopically demonstrate the proximity of the orbital floor to the maxillary antrostomy
site, and (3) discuss management of the floor and the adjacent sinuses if orbital floor injury is noticed intraoperatively.
We performed bilateral ethmoidectomy and right-sided middle meatal antrostomy
and found that the right maxillary sinus was filled with mucopurulent secretions.
Uncinectomy and middle meatal antrostomy
was performed in all cases.
(3.) Kennedy DW, Zinreich SJ, Kuhn F, Shaalan H, Naclerio R, Loch E.Endoscopic middle meatal antrostomy
:theory,technique and patency.
A key element of lateral sinus lift surgery is designing and carrying out the lateral antrostomy
. The design and position of the lateral window define the extent to which the mucoperiosteal flap must be elevated and affect the surgeon's subsequent actions.