Inferior Turbinate Swing Technique: A Novel Surgical Route to Approach Maxillary Sinus Area Pathology

Otolaryngol Head Neck Surg. 2018 Oct;159(4):796-798. doi: 10.1177/0194599818785143. Epub 2018 Jun 26.

Abstract

The inferior turbinate is an important structure for maintenance of adequate physiologic function within the nasal cavity. However, it hampers access to lesions involving maxillary sinus areas, including postoperative mucocele or benign tumor, and acts as an inferior limit to widening the natural ostium of a maxillary sinus. Here, we introduce a novel technique, interior turbinate swing, to facilitate entry to the inferior meatus or maxillary sinus while maintaining integrity of the inferior turbinate. In this technique, the anterior part of inferior turbinate is cut with sharp scissors, rotated posteriorly, and held in the nasopharynx. The inferior turbinate swing technique was employed in 38 subjects, and no patients exhibited recurrence of the causative disease without complication. Therefore, we may conclude that the inferior turbinate swing technique is a simple, effective, and safe treatment option for the management of postoperative mucocele, maxillary sinusitis with narrow inlet, or benign tumors.

Keywords: maxillary sinus; maxillary sinusitis; mucocele; nasal cavity; turbinates.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Endoscopy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Maxillary Sinus / physiopathology
  • Maxillary Sinus / surgery
  • Maxillary Sinus Neoplasms / pathology
  • Maxillary Sinus Neoplasms / surgery*
  • Maxillary Sinusitis / diagnostic imaging
  • Maxillary Sinusitis / surgery*
  • Middle Aged
  • Papilloma, Inverted / diagnostic imaging
  • Papilloma, Inverted / surgery
  • Patient Safety*
  • Prospective Studies
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Turbinates / surgery*