Ashman A, Psaltis A J, Wormald P J, Tan N C-W
Department of Otolaryngology, Oxford University Hospitals, UK.
Department of Otolaryngology, University of Adelaide and Queen Elizabeth Hospital, Adelaide, Australia.
J Laryngol Otol. 2020 Jun;134(6):473-480. doi: 10.1017/S0022215120000882. Epub 2020 Jun 8.
Treatment of inflammatory and neoplastic disease in the maxillary sinus, pterygopalatine and infratemporal fossae requires appropriate surgical exposure. As modern rhinology evolves, so do the techniques available. This paper reviews extended endoscopic approaches to the maxillary sinus and the evidence supporting each technique.
A literature search of the Ovid Medline and PubMed databases was performed using appropriate key words relating to endoscopic approaches to the maxillary sinus.
Mega-antrostomy and medial maxillectomy have a role in the surgical treatment of refractory inflammatory disease and sinonasal neoplasms. The pre-lacrimal fossa approach provides excellent access but can be limited because of anatomical variations. Both the transseptal and endoscopic Denker's approaches were reviewed; these appear to be associated with morbidity, without any significant increase in exposure over the afore-described approaches.
A range of extended endoscopic approaches to the maxillary sinus exist, each with its own anatomical limitations and potential complications.
上颌窦、翼腭窝和颞下窝的炎性和肿瘤性疾病的治疗需要适当的手术暴露。随着现代鼻科学的发展，可用技术也在不断进步。本文回顾了上颌窦的扩大内镜手术方法及支持每种技术的证据。
使用与上颌窦内镜手术方法相关的适当关键词，对Ovid Medline和PubMed数据库进行文献检索。
大鼻窦造口术和上颌骨内侧切除术在难治性炎性疾病和鼻窦肿瘤的手术治疗中发挥作用。泪前窝入路提供了良好的入路，但由于解剖变异可能会受到限制。本文回顾了经鼻中隔和内镜Denker入路；这些入路似乎与发病率相关，且暴露范围相比上述方法没有显著增加。
存在一系列上颌窦的扩大内镜手术方法，每种方法都有其自身的解剖学局限性和潜在并发症。
