Pradipta Kumar Parida1, Ashok Kumar Gupta. 1. Department of Otorhinolaryngology-Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drpradipta04@gmail.com <drpradipta04@gmail.com>
Abstract
OBJECTIVE: The purpose of this study was to compare the long-term results of endoscopic and conventional medial maxillectomy. STUDY DESIGN: A prospective study. SUBJECTS AND METHODS: This study was conducted on 28 patients. No patient had intracranial or intraorbital extension. Thirteen patients (4 with adenocarcinoma, 5 with inverted papilloma, and 4 with malignant melanoma) underwent endoscopic medial maxillectomy, and 15 patients (5 with adenocarcinoma, 5 with inverted papilloma, and 5 with malignant melanoma) underwent conventional medial maxillectomy with a postoperative follow-up of 12 to 48 months. RESULTS: In group 1 (the endoscopic group), recurrence was seen in one case (7.6%) with malignant melanoma 3 months after the surgery and was managed by revision endoscopic removal of the disease. The overall success rate in this group was 92.4%. In group 2 (the conventional group), the disease recurred in one (6.6%) patient with malignant melanoma. The overall recurrence rate was 7.2%. CONCLUSIONS: The precise determination of tumor origin and extent of tumor during the surgery is the key to a successful outcome.
OBJECTIVE: The purpose of this study was to compare the long-term results of endoscopic and conventional medial maxillectomy. STUDY DESIGN: A prospective study. SUBJECTS AND METHODS: This study was conducted on 28 patients. No patient had intracranial or intraorbital extension. Thirteen patients (4 with adenocarcinoma, 5 with inverted papilloma, and 4 with malignant melanoma) underwent endoscopic medial maxillectomy, and 15 patients (5 with adenocarcinoma, 5 with inverted papilloma, and 5 with malignant melanoma) underwent conventional medial maxillectomy with a postoperative follow-up of 12 to 48 months. RESULTS: In group 1 (the endoscopic group), recurrence was seen in one case (7.6%) with malignant melanoma 3 months after the surgery and was managed by revision endoscopic removal of the disease. The overall success rate in this group was 92.4%. In group 2 (the conventional group), the disease recurred in one (6.6%) patient with malignant melanoma. The overall recurrence rate was 7.2%. CONCLUSIONS: The precise determination of tumor origin and extent of tumor during the surgery is the key to a successful outcome.
Authors: M Trimarchi; P V Tomazic; G Bertazzoni; A Rathburn; M Bussi; H Stammberger Journal: Acta Otorhinolaryngol Ital Date: 2014-08 Impact factor: 2.124