title: [Combined middle meatus and expand pre-lacrimal recess-maxillary sinus approach for endoscopic maxillary sinus surgery].
abstract: OBJECTIVE
  To study surgical techniques and clinical applications of the intranasal endoscopic combined approach in maxillary sinus benign lesions surgery.
  
  
  METHODS
  A retrospective clinical analysis of 27 patients "whose unilateral maxillary sinus benign lesions operated by the intranasal endoscopic middle meatus with inferior meatus tears recess approach surgical treatment was studied.
  
  
  RESULTS
  Benign lesions were confirmed by pathology in all patients before and after surgery as to rule out malignancy. All patients had been followed up for 12 to 24 months. Twenty-seven cases resulted in normal luminal epithelium and inferior turbinate shape after surgery. Only one case of papilloma relapsed 2 months after operation. So far, the papilloma has not recurred after the second surgery. There were no epiphora in all cases.
  
  
  CONCLUSIONS
  Endonasal endoscopic expand anterior tears recess approach have great and clear view. This approach made us accurately, mini-invade and completely remove the maxillary sinus benign lesions. It is a physiological and functional surgery and has great advantage in the nasal cavity disease treatment.
authors: Department of Otolaryngology, Guangxi Nanning Red Cross Hospital, Nanning, 530012, China. entchenyinghua@163.com
authors: Yinghua
authors: Y
authors: Chen
authors: Hongchun
authors: H
authors: Zhang
authors: Pingjiang
authors: P
authors: Ge
authors: Tingjia
authors: T
authors: Wei
authors: Xiaogang
authors: X
authors: Luo
authors: Peijuan
authors: P
authors: Huang
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery*; D008297:Male; D008443:Maxillary Sinus; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000379:methods*; D009666:Nose / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D012189:Retrospective Studies