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Anales de Otorrinolaringología Mexicana

2021, Number 3

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Otorrinolaringología 2021; 66 (3)

Modified endoscopic Denker approach: Versatile technique in surgical management of the maxillary sinus

Bravo-Arteaga SY, Gutiérrez-Espinosa CA, Cortés-Ponce JR

Language: Spanish
References: 16
Page: 175-181
PDF size: 229.57 Kb.


ABSTRACT

Background: Due to the anatomical disposition of the maxillary sinus, it is difficult to approach it by nasal endoscopy when it has damage in its anteroinferior or posterolateral recess. Denker endoscopic technique offers full visualization of the maxillary sinus walls, without requiring sublabial or transeptal approaches.
Objectives: To determine the complications associated to the procedure, bleeding amount, surgical time and recovery. To present the modifications made to the technique to use it beyond the treatment of nasal papilloma.
Materials and Methods: A retrospective and descriptive study with patients treated from June 2015 to April 2019. All with involvement of maxillary sinus walls, nasal cavity and some towards the infratemporal fossa.
Results: There were included 14 patients. Complete exposure of the lesion was obtained, with a mean surgical time of 3.1 hr and 154 cc of bleeding. One patient presented malar hypoesthesia. No patient had alar retraction, and to date 12/14 are without recurrence.
Conclusions: With the Denker endoscopic technique, adequate access was obtained to the anterolateral and posteroinferior recesses of the maxillary sinus. It was successfully used for the treatment of neoplasms, infectious or inflammatory diseases, others than nasal papilloma.


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