KeypointsMaxillary sinus approaches, such as the Caldwell‐Luc procedure or the canine fossa puncture, remain associated with numerous complications, for example trigeminal hypoesthesia, sinus Atelectasis, residual pain and fistula.We propose an easy‐to‐perform, rapid four‐step procedure we called extended inferior antrostomy, which is indicated in all maxillary sinus pathologies requiring visual control of the anterior maxillary recess: that is maxillary tumours (inverted papilloma), fungus balls, foreign bodies and mucoceles and in some extramaxillary pathologies affecting the pterygopalatine fossa, the infratemporal fossa or the inferior part of the orbit.Our extended inferior antrostomy makes it possible, in most cases, to achieve visual control of the anterior recess of the maxillary sinus without endangering the lacrimal ostium and the lacrimal duct. It also reduces the number of external approaches required and allows the surgeon to access the infratemporal fossa, the orbital floor or the pterygoïd bone in case of extensive endoscopic procedures.INTRODUCTIONFunctional endoscopic sinus surgery (FESS) has considerably evolved over the past 20 years while minimally invasive surgery also applies to sinus procedures. Development of new technologies combined with better knowledge of risks has allowed surgeons to achieve improved results in their FESS indications. One of the most difficult areas to visualise using the
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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