Medial maxillectomy: a comparative study as a surgical procedure.
OBJECTIVE
The purpose of this study was to compare the long-term results of endoscopic and conventional medial maxillectomy.


METHODS
A prospective study.


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.
Parida
Pradipta Kumar
PK
Department of Otorhinolaryngology-Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drpradipta04@gmail.com <drpradipta04@gmail.com>
Gupta
Ashok Kumar
AK
D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome