International Session 13 Rhinology-Clinical

Total maxillectomy, a surgical procedure involving amputation of the orbital floor, zygoma, hard palate, and pterygoid process, is typically performed in patients with cancer invading the maxillary sinus.A common approach is a Weber-Ferguson skin incision, but this approach is associated with postoperative cosmetic complications and difficulty in complete resection of the medial orbital wall deep in the nasal cavity and the area surrounding the pterygoid process.We have developed a complete maxillectomy for maxillary sinus cancer cases using an endoscopic technique.This method does not require a facial skin incision in addition to precise resection of the medial orbital wall and pterygoid process.This study examined three patients who underwent endoscopic maxillary surgery.All three patients underwent successful en bloc resection with negative resection margins.In this presentation, three cases of sub-total and total maxillary sinus removal will be presented with videos and discussed with a literature review.