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A prelacrimal approach technique to overcome the limitation of the narrow lacrimal recess

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The distance between the anterior wall of the maxillary sinus and the nasolacrimal duct has been classified into three types by Simmen, in which type I (< 3 mm) is the least feasible for a prelacrimal approach. The aim of our study is to present a surgical technique which overcomes the anatomical limitation of the narrow lacrimal recess (type I) in the management of inverted papilloma in the maxillary sinus.

Methods

Case series.

Results

Eight patients with type I lacrimal recess underwent surgical resection for inverted papilloma in the maxillary sinus via a prelacrimal approach. The technique is described in detail in the article and essentially involves exposure of the nasolacrimal duct using a diamond burr. Complete tumor excision was achieved in all cases through this access, with no significant intra-operative complications.

Conclusions

This prelacrimal approach technique is safe and effective for the management of inverted papilloma in maxillary sinuses with a type I lacrimal recess configuration.

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Funding

This research has no funding source.

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Authors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Pham Ngoc Thach University of Medicine, 86/2 Thanh Thai, District 10, Ho Chi Minh City, Vietnam

    Luan Viet Tran

  2. Department of Rhinology, Ear Nose and Throat Hospital of Ho Chi Minh City, Ho Chi Minh City, Vietnam

    Luan Viet Tran & Lam Thanh Le

  3. Department of Surgery-Otolaryngology Head and Neck Surgery, Adelaide University, Adelaide, Australia

    Alkis Psaltis

  4. Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore, Singapore

    Jin Keat Siow

Authors
  1. Luan Viet Tran
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  2. Alkis Psaltis
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  3. Lam Thanh Le
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  4. Jin Keat Siow
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Corresponding author

Correspondence to Luan Viet Tran.

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Tran, L.V., Psaltis, A., Le, L.T. et al. A prelacrimal approach technique to overcome the limitation of the narrow lacrimal recess. Eur Arch Otorhinolaryngol 278, 1885–1889 (2021). https://doi.org/10.1007/s00405-020-06472-z

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  • DOI: https://doi.org/10.1007/s00405-020-06472-z

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