Comprehensive review on endonasal endoscopic sinus surgery
The surgical management of inverted papillomas of the maxillary sinus has evolved from large en block excisions requiring external incisions to the minimally invasive endoscopic and endoscopic-assisted techniques used today. The traditional endoscopic approach involves resection of the inferior turbinate to perform an endoscopic medial maxillectomy, which can cause atrophic rhinitis and shrinking of the maxillary sinus, resulting in difficulty following these patients for recurrence in the office. In this article, we present a series of patients who underwent a modified endoscopic surgical approach for the excision of maxillary sinus inverted papillomas. In our approach, we preserve the inferior turbinate to preserve nasal mucosa physiology. Patient characteristics, recurrence rates, and complications associated with this approach are reviewed.