Infraorbital nerve transposition to expand the endoscopic transnasal maxillectomy
© 2016 ARS-AAOA, LLC..
BACKGROUND: The infraorbital nerve (ION) is a terminal branch of the maxillary nerve (V2) providing sensory innervation to the malar skin. It is sometimes necessary to sacrifice the ION and its branches to obtain adequate maxillary sinus exposure for radical resection of sinonasal tumors. Consequently, patients suffer temporary or permanent paresthesia, hypoestesthia, and neuralgia of the face. We describe an innovative technique used for preservation of the ION while removing the anterior, superior, and lateral walls of the maxillary sinus through a medial endoscopic transnasal maxillectomy.
METHODS: All patients who underwent transnasal endoscopic maxillectomy with ION transposition in our institute were retrospectively reviewed.
RESULTS: Two patients were identified who had been treated for sinonasal cancers using this approach. No major complications were observed. Transient loss of ION function was observed with complete recovery of skin sensory perception within 6 months of surgery. One patient referred to a mild permanent anesthesia of the upper incisors. No diplopia or enophthalmos were encountered in any of the patients.
CONCLUSION: The ION transposition is useful for selected cases of benign and malignant sinonasal tumors that do not infiltrate the ION itself but involve the surrounding portion of the maxillary sinus. Anatomic preservation of the ION seems to be beneficial to the postoperative quality of life of such patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:7 |
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| Enthalten in: |
International forum of allergy & rhinology - 7(2017), 2 vom: 24. Feb., Seite 149-153 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Salzano, Giovanni [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 04.12.2017 Date Revised 10.01.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/alr.21858 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM264807863 |
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| 100 | 1 | |a Salzano, Giovanni |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Infraorbital nerve transposition to expand the endoscopic transnasal maxillectomy |
| 264 | 1 | |c 2017 | |
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| 500 | |a Date Completed 04.12.2017 | ||
| 500 | |a Date Revised 10.01.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2016 ARS-AAOA, LLC. | ||
| 520 | |a BACKGROUND: The infraorbital nerve (ION) is a terminal branch of the maxillary nerve (V2) providing sensory innervation to the malar skin. It is sometimes necessary to sacrifice the ION and its branches to obtain adequate maxillary sinus exposure for radical resection of sinonasal tumors. Consequently, patients suffer temporary or permanent paresthesia, hypoestesthia, and neuralgia of the face. We describe an innovative technique used for preservation of the ION while removing the anterior, superior, and lateral walls of the maxillary sinus through a medial endoscopic transnasal maxillectomy | ||
| 520 | |a METHODS: All patients who underwent transnasal endoscopic maxillectomy with ION transposition in our institute were retrospectively reviewed | ||
| 520 | |a RESULTS: Two patients were identified who had been treated for sinonasal cancers using this approach. No major complications were observed. Transient loss of ION function was observed with complete recovery of skin sensory perception within 6 months of surgery. One patient referred to a mild permanent anesthesia of the upper incisors. No diplopia or enophthalmos were encountered in any of the patients | ||
| 520 | |a CONCLUSION: The ION transposition is useful for selected cases of benign and malignant sinonasal tumors that do not infiltrate the ION itself but involve the surrounding portion of the maxillary sinus. Anatomic preservation of the ION seems to be beneficial to the postoperative quality of life of such patients | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a endoscopic endonasal approach | |
| 650 | 4 | |a infraorbital nerve | |
| 650 | 4 | |a maxillary sinus | |
| 650 | 4 | |a maxillectomy | |
| 650 | 4 | |a sinonasal cancer | |
| 700 | 1 | |a Turri-Zanoni, Mario |e verfasserin |4 aut | |
| 700 | 1 | |a Karligkiotis, Apostolos |e verfasserin |4 aut | |
| 700 | 1 | |a Zocchi, Jacopo |e verfasserin |4 aut | |
| 700 | 1 | |a Dell'Aversana Orabona, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Califano, Luigi |e verfasserin |4 aut | |
| 700 | 1 | |a Battaglia, Paolo |e verfasserin |4 aut | |
| 700 | 1 | |a Castelnuovo, Paolo |e verfasserin |4 aut | |
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