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Endoscopic sinus surgery for the anterior maxillary sinus, using a 135° reflective CO2 laser

Published online by Cambridge University Press:  16 November 2007

K Sato
K Sato*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan
*
Address for correspondence: Dr Kiminori Sato, Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. Fax: +81 942 37 1200 E-mail: kimisato@oct-net.ne.jp
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Abstract

Objectives:

Endoscopic sinus surgery has been widely performed to treat nose and paranasal diseases. However, it is difficult to manipulate anterior wall lesions of the maxillary sinus using conventional surgical instruments. This paper presents a method of performing endoscopic surgery for anterior wall lesions of the maxillary sinus, using a 135° reflective CO2 laser.

Method:

A CO2 laser with a 135° reflective tip on the pipe-guide handpiece and a CO2 laser angulated to the same degree were used. The pipe-guide handpiece with reflective tip was inserted into the nasal cavity and the base of the maxillary sinus anterior wall lesion was vaporised and removed via an enlarged natural ostium. During the procedure, the maxillary antrum was visualised with a 70° endoscope. Ten cases of maxillary sinus anterior wall lesion underwent this surgical procedure.

Results:

In all cases, the base of the maxillary sinus anterior wall lesion was removed completely and recurrence avoided.

Conclusion:

This method is a reliable procedure enabling endoscopic sinus surgery for anterior wall lesions of the maxillary sinus.

Keywords

Maxillary SinusLaser SurgeryEndoscopy
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 9 , September 2008 , pp. 918 - 920
Copyright
Copyright © JLO (1984) Limited 2007

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References

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