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Trimarchi, M; Tomazic, PV; Bertazzoni, G; Rathburn, A; Bussi, M; Stammberger, H.
Video endoscopic oro-nasal visualisation of the anterior wall of maxillary sinus: a new technique.
Acta Otorhinolaryngol Ital. 2014; 34(4):259-263 [OPEN ACCESS]
Web of Science PubMed PUBMED Central

 

Co-Autor*innen der Med Uni Graz
Stammberger Heinz
Tomazic Peter Valentin
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Abstract:
The anterior wall of the maxillary sinus represents a blind spot in maxillary sinus endoscopic surgery because of the absence of proper visualisation and instrumentation to reach it. The aim of this study was to validate a new approach through the oral cavity into the nose with a flexible video endoscope (oro-nasal endoscopic approach; ONEA) to visualise the entire anterior maxillary wall including the anteromedial angle. We started from a dried bone cadaver model, and then dissected fresh-frozen cadavers. The maxillary sinus was explored with a rigid and a flexible endoscope entering from the nose. Next, a flexible endoscope was introduced through the mouth and back up through the choana, it accessed the maxillary middle antrostomy, entering inside the sinus and looking at the anterior wall. A small ruler inserted inside the sinus demonstrated all the angles visualised. The new ONEA technique allows complete visualisation of the anterior wall of the maxillary sinus with inspection of all blind spots. It is therefore possible to detect lesions that would normally not be visible with a normal rigid endoscope. We demonstrate the validity of a novel technique that allows visualisation of the infero-medial angle of the anterior wall of the maxillary sinus.
Find related publications in this database (using NLM MeSH Indexing)
Cadaver -
Endoscopy - methods
Humans -
Maxillary Sinus - anatomy & histology
Mouth -
Nose -
Video Recording -

Find related publications in this database (Keywords)
Cadaver dissection
Maxillary sinus
Oro-nasal endoscopic approach (ONEA)
Endoscopic surgery
Endoscopy
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