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Year : 2019  |  Volume : 17  |  Issue : 3  |  Page : 75-79

Open and endoscopic medial maxillectomy for maxillary tumors – a review of surgical options

1 Departments of Otorhinolaryngology - Head and Neck Surgery, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
2 Department of Anatomy, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

Correspondence Address:
Dr. Baharudin Abdullah
Department of Otorhinolaryngology – Head and Neck Surgery, School of Medical Sciences, University Sains Malaysia, 16150 Kubang Kerian, Kelantan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_6_19

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It has been the gold standard approach for maxillary tumors to do an open radical maxillectomy. The introduction of endoscopic surgery has provided an alternative method for tumor removal without creating a cosmetically disfiguring scar. We reviewed the literature to describe the open and endoscopic medial maxillectomy for the management of maxillary tumors. This review is based on a selective literature search of the PubMed database, searching for the terms “medial maxillectomy,” “endoscopic medial maxillectomy,” “partial maxillectomy,” “maxillary tumors,” “sinonasal neoplasms,” and “inverted papilloma.” Some older standard publications, textbooks, and our own clinical experience were also included. No language or year of publication restriction was applied. The indication for medial maxillectomy, either open or endoscopic medial maxillectomy is inverted papilloma, a benign locally invasive sinonasal tumor. The aim is to remove all diseased tumor tissue together with complete margin clearance. At the same time, the wide cavities provide easier monitoring of recurrent tumor on follow-up. Lack of complications of open surgery as well as improved access to medial and posterior sinonasal regions suggests that the endoscopic techniques for selected lesions may be a good alternative to open surgery. The endoscopic medial maxillectomy is the preferred option for the treatment of benign sinonasal neoplasm involving the medial wall of maxilla specifically inverted papilloma. Adjuvant external approach may be performed when needed to allow complete eradication of any residual disease.

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