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Date Published: 21/10/2025
Abstract Views: 1
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DOI: 10.60137/tmhvn.v70i71.256
Issue
Vol. 70 No. 71
Section
Articles
How to Cite
Nguyen, T. C., & Cao, M. T. (2025). EVALUATION OF RESULTS OF ENDOSCOPIC MAXILLARY SINUS SURGERY THROUGH THE INFERIOR MEATUS. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 70(71), 40-50. https://doi.org/10.60137/tmhvn.v70i71.256

EVALUATION OF RESULTS OF ENDOSCOPIC MAXILLARY SINUS SURGERY THROUGH THE INFERIOR MEATUS

Thi Chau Nguyen1, Minh Thanh Cao2,
1 Trường Đại Học Y Hà Nội
2 Bệnh viện Đại học Y Hà Nội

Main Article Content

Abstract

Objective: Describe the clinical characteristics, computed tomography (CT) images, histopathology of maxillary sinus pathologies and initially evaluate the results  of endosocpic maxillary sinus surgery through inferior meatus. Method: A retrospective and prospective descriptive study was conducted on 23 patients who underwent endoscopic inferior meatal antrostomy at The Otorhinolaryngology and Cochlear Implant Surgery Center, Hanoi Medical University Hospital. Data collected included subjective symptoms, endoscopic images, CT scans, histopathology, surgical time, blood loss, and complications. Results: The mean age of patients was 50.30±11.61 years, with females constituting 78.3%. The most common subjective symptoms were facial pain (60.9%) and nasal obstruction (52.2%). The mean preoperative SNOT-22 score was 29.52±20.45, which significantly improved to 9.43±12.65 postoperatively. Mean Lund-Kennedy scores were 4.17±1.61 preoperatively and 1.17±1.56 postoperatively. Mean Lund-Mackey scores were 4.26±2.45 preoperatively and decreased to 2.48±1.89 postoperatively. The mean surgical time was 67.17±16.78 minutes, and mean blood loss was 36.96±13.29 ml. Histopathology primarily revealed Aspergillus fungus (50.0%) and inflammatory polyps (34.6%). Postoperatively, subjective symptoms, endoscopic findings, and CT images all showed improvement. Complications included one case of postoperative bleeding requiring management, two cases of persistent inferior meatal perforation, one case of adhesion of the inferior turbinate to the nasal floor, and no cases of nasolacrimal duct injury were recorded. Conclusion: Endoscopic maxillary sinus ostium enlargement via the inferior meatus is a suitable method for localized lesions within the sinus cavity. This includes conditions such as fungus, polyps, foreign bodies, and dental cysts, especially those located in the anterior, inferior, and floor regions of the maxillary sinus. The procedure demonstrates high efficacy and safety.

Keywords

endoscopic inferior meatus, antrostomy, maxillary sinus fungus, maxillary sinus polyp, maxillary sinusitis

Article Details

References

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