A right medial maxillectomy
was performed with general anesthesia via a lateral rhinotomy approach, and the growth was excised in toto.
Historically, surgical treatment has involved aggressive open procedures such as medial maxillectomy
. (2) But the advent of endoscopic techniques for both meticulous removal of tissue and subsequent direct observation of the nose and sinuses has enabled surgeons to switch to a closed endoscopic procedure to remove inverting papillomas.
The patient underwent a right medial maxillectomy
via a Denker extended maxillary anterior antrostomy approach.
They range from the simple to the complex--debridement of the necrotic mucosa; Caldwell-Luc surgery; medial maxillectomy
, ethmoidectomy, and sphenoidotomy; and radical maxillectomy with orbital exenteration.
The traditional extemal approach has been a medial maxillectomy
via a lateral rhinotomy or midfacial degloving.
The following morning, the patient underwent a lateral rhinotomy, medial maxillectomy
, and excision of the lesion.
 The primary advantages of the Le Fort approach are that it offers good access to the posterosuperior nasopharynx with minimal bone removal (unlike lateral rhinotomy and medial maxillectomy
), and it poses no direct risk to major vessels and cranial nerves as long as the surgeon adheres to its boundaries.
of Cases % Anterior nasal packing 28 56% Posterior nasal packing 2 4% DNE followed by removal of foreign body 5 10% Correction of fracture nasal bone 2 4% Endoscopic removal of Nasal Mass 3 6% Combined approach (Endoscopic and Right 1 2% Medial Maxillectomy
) excision of Angiofibroma Endoscopic removal of Rhinolith 2 4% Laser excision of Haemangioma 3 6% Septoplasty with excision of spur 3 6% DNE followed by Electric 1 2% Cauterisation Total 50 100%
Endoscopic sinus surgery was selected on the basis of the preoperative findings, and left endoscopic medial maxillectomy
was performed under general anesthesia.
The surgical approaches that can be used for infrasellar craniopharyngiomas include the lateral rhinotomy approach, Denker's medial maxillectomy
approach, the transpalatal approach, and the transsphenoidal approach.
(1) Then, 1 to 2 months following the completion of radiotherapy, surgery is performed, usually involving a craniofacial resection or medial maxillectomy
. (1) Exclusion criteria for surgery include invasion of the cavernous sinus, orbital apex, or brain, or extensive disease of the infratemporal fossa.
The two recurrences that occurred were after a combined open lateral rhinotomy and transpalatal approach for stage II tumour (patient ID# 6) and via a Weber-Ferguson medial maxillectomy
approach for stage IIIa tumour (patient #13).