Advertisement

Acta Neurochirurgica

, Volume 157, Issue 4, pp 625–628 | Cite as

The transmaxillary endoscopic approach to the inferior part of the orbit: How I do it

  • Tomasz LysonEmail author
  • Andrzej Sieskiewicz
  • Marek Rogowski
  • Zenon Mariak
How I Do it - Neurosurgical Techniques

Abstract

Background

Transmaxillary endoscopic approach to the inferior part of the orbit was demonstrated on cadaveric preparations; however, its clinical application has not been reported. We describe a clinically useful technique of the transmaxillary approach to the lower orbit.

Methods

A four-hand technique is essential for extensive preparation within the orbit; therefore, the tools have to be introduced into the maxillary sinus through two ports: either through the canine fossa and antrostomy or through antrostomy using the bi-nostril transseptal approach.

Conclusion

Intraorbital pathologies located in the inferior retrobulbar space can be successfully operated on using the transmaxillary endoscopic approach.

Keywords

Transmaxillary approach Endoscopy Orbit Intraorbital pathology 

Notes

Conflict of interest

None.

Presentation at a conference

None.

Supplementary material

ESM 1

Video demonstrates essential stages of two bi-portal endoscopic procedures with basic clinical data of the patients. In the first patient the lower orbit was approached through the canine fossa and transnasal antrostomy, in the second patient through antrostomy using the bi-nostril approach (MPG 23621 kb)

References

  1. 1.
    DeFreitas J, Lucente FE (1988) The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985. Laryngoscope 98:1297–1300Google Scholar
  2. 2.
    Lyson T, Sieskiewicz A, Sobolewski A, Rutkowski R, Kochanowicz J, Turek G, Baclawska A, Krajewski J, Rogowski M, Mariak Z (2013) Operative field temperature during transnasal endoscopic cranial base procedures. Acta Neurochir 155:903–908CrossRefPubMedCentralPubMedGoogle Scholar
  3. 3.
    Peris-Celda M, Pinheiro-Neto CD, Scopel TF, Fernandez-Miranda JC, Gardner PA, Snyderman CH (2013) Endoscopic endonasal approach to the infraorbital nerve with nasolacrimal duct preservation. J Neurol Surg B Skull Based 74:393–398CrossRefGoogle Scholar
  4. 4.
    Schultheiß S, Petridis AK, El Habony R, Maurer P, Scholz M (2013) The transmaxillary endoscopic approach to the orbit. Acta Neurochir 155:87–97CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • Tomasz Lyson
    • 1
    Email author
  • Andrzej Sieskiewicz
    • 2
  • Marek Rogowski
    • 2
  • Zenon Mariak
    • 1
  1. 1.Department of NeurosurgeryMedical University of BialystokBialystokPoland
  2. 2.Department of OtolaryngologyMedical University of BialystokBialystokPoland

Personalised recommendations