Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: The risk of epiphora after medial maxillectomy with lacrimal duct transection is difficult to assess. The data available in the literature are inconclusive due to various operating techniques used by the authors of medical publications, different additional procedures aimed at improving tear drainage after maxillectomy, and a variety of lacrimal duct patency assessment techniques. The aim of our work was to assess the anatomical and functional patency of lacrimal ducts after medial maxillectomy without performing additional procedures to improve tear drainage as well as comparison of the results obtained with different assessment tests.
Materials And Methods: 21 patients who underwent medial maxillectomy in the years 2016-2019 were assessed for discomfort and epiphora based on patients' own reports and basic clinical examination, lacrimal duct rinse test, the Munk score, and a modified endoscopic Jones I test.
Results: Gradually increasing the sensitivity of the assessment method resulted in an increase in the number of patients with potential tear drainage disorders, starting from 0% in the rinsing test, 4.8% self-reported tearing complaints, 14.3% Munk score, and 19% modified endoscopic Jones I test.
Conclusions: The study results revealed that a small fraction of patients tend to report epiphora as a consequence of medial maxillectomy themselves. Subtle functional disorders, which are not particularly bothersome to patients, are more common. More sensitive lacrimal duct patency tests reveal more cases of tear drainage disorders. The results of studies assessing the incidence of epiphora after medial maxillectomy appear to depend on the type of test used.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827647 | PMC |
| http://dx.doi.org/10.3390/jcm10020245 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Glomangiopericytoma of the Infraorbital Region.
Head Neck Pathol
August 2025
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia.
Background: Glomangiopericytomas are rare spindle cell neoplasms that typically arise within the sinonasal tract and exhibit borderline to low malignant potential. While unusual, occurrences of this tumor in other regions of the head and neck have been reported, such as the deep neck spaces, larynx, tongue, and middle ear.
Case Presentation: A 44-year-old male presented with a one-year history of left infraorbital swelling, enlarging over two months and occasionally pulsating with discomfort.
Treatment Outcomes of Sinonasal Seromucinous Hamartoma: A Single-Center Experience.
J Rhinol
July 2025
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital, Hwasun, Republic of Korea.
Background And Objectives: Seromucinous hamartoma is a rare, benign epithelial tumor of the sinonasal tract, most commonly originating from the posterior nasal septum. Accurate diagnosis is essential due to its histopathological resemblance to low-grade sinonasal adenocarcinoma. This study aimed to evaluate the clinical characteristics, diagnostic considerations, and treatment outcomes of patients with seromucinous hamartoma treated at a single tertiary referral center.
View Article and Find Full Text PDFEndoscopic-assisted maxillectomy: our experience in tumours affecting the posterior wall of the maxillary sinus.
J Laryngol Otol
July 2025
Plastic Surgery Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Objective: To show our experience in performing endoscopic-assisted maxillectomy (EAM), with the aim of facilitating delineation of tumour resection and improve the achievement of free tumour resection margins.
Methods: Patients undergoing EAM between 2021 and 2024 were reviewed. During the endoscopic approach, the medial and lateral plates of the pterygoid were drilled, taking as reference the superior margin of the inferior turbinate.
Dissenting an Uncommon Diagnosis at Unusual Origin: A Case Report of Teratocarcinosarcoma of Sinonasal Cavity - A Rare Malignancy.
Case Rep Oncol
May 2025
Nursing Department Communicable Diseases Center, Hammad Medical Corporation, Doha, Qatar.
Introduction: Teratocarcinosarcoma is an extremely rare and aggressive malignancy of the nasal cavity and paranasal sinuses, comprising epithelial, mesenchymal, and neuroectodermal components. Due to its aggressive behavior, early diagnosis and a multimodal treatment approach are essential for improving outcomes.
Case Presentation: We report the case of a 55-year-old male who presented with bilateral nasal discharge, recurrent epistaxis, progressive nasal swelling, and left-sided epiphora over several months.
Running pattern of the internal maxillary artery assessed using arterial-phase CT images in 434 sides in Japanese individuals.
Auris Nasus Larynx
August 2025
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Objective: The internal maxillary artery (IMA) follows two primary running patterns: lateral, where it traverses the superficial layer of the lateral pterygoid muscle, and medial, where it passes through the deep layer. The frequency of these patterns varies among populations, with the medial type reported in 6-18 % of Asians and 37-46 % of Caucasians. Ligation of the IMA, commonly performed during total or partial maxillectomy to reduce bleeding, is more challenging in the medial type due to its deeper anatomical position.
View Article and Find Full Text PDF