Medial maxillectomy: A comparative study as a surgical procedure
Received 16 July 2007; received in revised form 8 October 2007; accepted 23 October 2007.
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.
Department of Otorhinolaryngology–Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Corresponding author: Dr Pradipta Kumar Parida, Department of Otorhinolaryngology–Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
ABSTRACT