Maxillectomy will nickson a personal account of having. The patient will have a foley catheter to drain your bladder in place after surgery. Treatment of recalcitrant maxillary sinusitis with endoscopic. The variety of nomenclature in our own service database. A radical procedure used to excise benign and lowgrade malignancies of the medial aspect of the maxilla, the lateral nasal wall, ethmoid sinuses and lacrimal sac, in which the maxilla is removed with the tumour. Endoscopic modified medial maxillectomy for resection of an inverted papilloma originating from the entire circumference of the maxillary sinus kota wada, takashi ishigaki, yutaro ida, yuki yamada, sachiko hosono, and hideo edamatsu. An algorithm for maxillectomy defect reconstruction steven p. Transnasal endoscopic medial maxillectomy for inverting. Maxillary sinus involvement with inverting papilloma is not a contraindication for this technique.
Pdf endoscopic medial maxillectomy with preservation of. Only a medial maxillectomy can be performed using advanced minimally invasive techniques and through the nostrils. Transnasal endoscopic medial maxillectomy involves complete resection of the lateral nasal wall. This may leave the medial buttress piriform aperture strut intact, if not involved or not hindering exposure. New video from my surgeon, mr ceri hughes, explaining about what a maxillectomy is and other very useful information.
Many adjectives are used to describe maxillectomy procedures, such as radical, total, extended, subtotal, medial, partial, and limited. Endoscopic modified medial maxillectomy for resection of an inverted papilloma originating from the entire circumference of the maxillary sinus. Modified endoscopic medial maxillectomy for recalcitrant. With more familiarity and expertise in endoscopic sinus surgery the endonasal approach. The amount of lateral exposure is dependent on the extent of the medial maxillectomy. After that, the eeta was performed and coupled with two sequential maxillary procedures medial maxillectomy mm, and endoscopicassisted. Modified endoscopic medial maxillectomy for chronic maxillary. The indication for medial maxillectomy, either open or endoscopic medial maxillectomy is inverted papilloma, a benign locally invasive sinonasal. We provide both direct download links and torrents. The endoscopic medial maxillectomy is the modern adaptation of the more historical open medial maxillectomy. Recently, modified endoscopic medial maxillectomy memm has been described as an alternative technique to open maxillectomy for benign sinonasal neoplasms.
Questions you might have maxillectomy will nickson. Medial maxillectomy is the procedure designed to en bloc resect the party wall between the nasal cavity, maxillary antrum, and adjacent ethoid labyrinth along with the tumor within the nose and sinus. Objective to demonstrate an anatomic basis for endoscopic medial maxillectomy with excision of the lateral nasal wall to the nasal floor, including the inferior turbinate, and nasolacrimal duct. Intraoperatively, the entire medial wall of the maxillary sinus was removed and disease was cleared off the dental implants which were. The modified endoscopic prelacrimal approach australian journal. One of these techniques that are widely implemented is endoscopic medial maxillectomy. All other types are performed in the traditional manner. The maxilla articulates with the bones of the skull base, and therefore maxillary surgery is occasionally performed to provide exposure for treatment of skull base pathology. Download scientific diagram extended medial maxillectomy. These approaches are ma naged through the posterior side of the. To assess the efficacy of a new endonasal medial maxillectomy technique emm for the treatment of inverted papilloma.
Accessing and treating pathology in the maxillary sinus. The catheter will be removed when the patient is up. Endoscopic medial maxillectomy for inverted papilloma. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. Oct 12, 2010 a medial maxillectomy mm consists of a complete resection of the medial wall of the maxillary sinus. Endoscopic medial maxillectomy augusta university research. Patients may be on 4b or rarely the intensive care unit 5d. A maxillectomy is typically an invasive procedure that requires an open incision to access the maxilla bone. Approach lateral rhinotomy incision or midfacial degloving. Transnasal endoscopic medial maxillectomy is an effective, reproducible technique with less operative time and morbidity and, possibly, better pathological tumor mapping than open medial. However, few reports discuss the efficacy of memm for treatment of inflammatory disease of the maxillary sinus. Maxillectomy is potentially complicated by injuries to the orbital contents, lacrimal apparatus, optic nerve. Backgroundrecently, modified endoscopic medial maxillectomy memm has. A le fort 1 osteotomy may also be used as an approach to e.
In 1977, sessions and larson coined the term medial maxillectomy to. Modified endoscopic medial maxillectomy for chronic. Recently, a new surgical approach named endoscopic modified medial maxillectomy emmm was proposed. The anteromedial maxillectomy was first described by alfred denker in 1906. Alternatively, this bone can be removed en bloc and later plated back. With the improved visualization of endoscopic techniques and outcomes comparable to those of the external approach, endoscopic transnasal resection of these tumors is quickly becoming the standard of care. I think it all depends upon whats happening to you, how they progress in theatre and if there are any issues that come up.
A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. This chapter, however, will focus on surgery for pathology that involves the maxilla primarily. Jun 15, 2016 medial maxillectomy is performed for the removal of benign and malignant tumors that involve the lateral nasal wall medial maxilla and to gain access to tumors in the masticator space and infratemporal skull base floor of middle cranial fossa. We evaluate the efficacy of memm in treating chronic maxillary sinusitis. Medial maxillectomy is performed for the removal of benign and malignant tumors that involve the lateral nasal wall medial maxilla and to gain access to tumors in the masticator space and infratemporal skull base floor of middle cranial fossa.
For inverted papilloma involving the lateral nasal wall, endoscopic medial maxillectomy is the procedure of choice. Endoscopic modified medial maxillectomy for resection of an. Keywords maxillary sinus, chronic sinusitis, medial maxillectomy, endoscopic. Transnasal endoscopic medial maxillectomy as the initial. Atlas of endoscopic sinus and skull base surgery sciencedirect.
The procedure may create a connection between the nose, sinus and oral cavities which can make speech and swallowing challenging. Video 3 12wk postop complete sphenoethmoidectomy full house ess medtronic technique guide. An algorithm for maxillectomy defect reconstruction. We have been billing an endoscopic medial maxillectomy as 31225. It is increasingly being done by transnasal endoscopic technique for suitable cases and when the. Over the past decade, the role of endoscopic techniques in the excision of sinonasal neoplastic lesions has become widely recognized. Medial maxillectomy anterior wall of maxillary sinus is removed with osteotome and rongeurs. A maxillectomy may also be performed as part of a combined resection of a skull base or nasopharyngeal.
Endoscopic modified medial maxillectomy for resection of an inverted papilloma originating from the entire. Chapter 22 endoscopic denker approach for anterior maxilla tumors. Transnasal endoscopic medial maxillectomy is an effective, reproducible technique with less operative time and morbidity and, possibly, better pathological tumor mapping than open medial maxillectomy for selected patients. A maxillectomy is the partial removal of the upper jaw bone.
Complete unilateral maxillectomy or one of its variants is commonly performed for surgical resection of benign or malignant tumors of the maxilla, whether they originate from bone, minor salivary glands, sinus tissue, or dental tissues. This incision is rounded inferiorly along the upper border of upper lip till the center of the lip is reached. Preservation of the nasolacrimal duct during endoscopic medial. Download video, audio, subs from youtube, grab photos from instagram, make slideshows and much more. Article information, pdf download for treatment of recalcitrant maxillary. Endoscopicassisted lateral corridor to the infratemporal fossa. A maxillectomy is a surgical procedure used to treat oral cavity cancer and cancers affecting the jaw and sinus cavity. I searched the web before my operation looking for information about it and couldnt really find what i was looking for so i created this site with the hope of helping anyone. It is similar to the previously reported endoscopic medial maxillectomy with preservation of the inferior turbinate 14. Clinic endoscopic follow up is critical to detecting recurrence early.
A surgical approach is presented in which the it is temporarily excised and then reinserted, followed by postoperative occlusion of the nose for at least 2 weeks. The modified weber ferguson incision used in total maxillectomy has three components. Feb 16, 2016 endoscopic medial maxillectomy john victor. Sep 24, 2019 the precise limits of the resection must be determined by the extent of the tumor. Endoscopic medial maxillectomy for infected dental implants decision was made to proceed with a left emm to allow for wide open irrigation and drainage of the left maxillary sinus. The endoscopic medial maxillectomy is rapidly replacing open medial maxillectomy, which has traditionally been considered the gold standard treatment for neoplastic disease involving the lateral nasal wall and maxillary sinus. My name is will nickson from the uk, i was 38 when i had to have maxillectomy surgery in march 2012 due to cancer here is a video of me 10 months after my operation. Medial maxillectomy is now the gold standard for ip. Medial maxillectomy definition of medial maxillectomy by.
Picture of total maxillectomy otolaryngology houston. Rating is available when the video has been rented. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. Combine with the sublabial approach for anterior and inferior and lateral recess and nasolacrimal duct disease combine with open approach for superior lateral orbit disease follow up. Endoscopic modified medial maxillectomy for resection of. After removing the roof of the maxillary antrum, its floor the hard palate and its medial wall, one can look from the mouth and see the floor of the orbit, the ethmoid sinus and the nasopharynx. Openshot video editor is available for download on linux, os x, and windows. Open and endoscopic medial maxillectomy for maxillary tumors a. Functional deglutition and speech problems with a significant soft tissue deficit ensue. Traditionally the surgery is performed via an open approach. Similarly, tumors isolated to the medial maxillary wall such as inverted papilloma are frequently treated with a medial maxillectomy endoscopic or open. There are no restrictions, and colleagues are welcome to use, copy and quote as they wish.
Occasionally, the orbit is exenterated and its floor removed, thus resulting in one large cavity. Curving incision from the medial canthus to the ala of the nose at the nasolabial sulcus. Jun 14, 2016 partial and total maxillectomy michael j. In this presentation, a case series of 45 patients who underwent endoscopic medial maxillectomy is presented. Free and useful applications for all modern platforms. The upper lip is ideally split right in the midline. 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. In the accompanying video to this book, a recurrent inverted papilloma can be seen pedicled to the.
862 81 342 662 546 143 456 1562 848 370 952 302 1067 58 602 1023 621 1259 1224 1311 130 180 666 460 1509 1322 214 616 766 1452 1316 434 360 682 11 922