Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management

Usamah Hadi; Helene Dabbous; Jad Hosri; Nadine El Hadi; Zeina Korban

doi:10.5152/ejra.2024.24123

Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management

Abstract

Objectve: Functional endoscopic sinus surgery is primarily aimed at restoring the natural physiology of the paranasal sinuses to achieve effective mucociliary clearance and proper ventilation. This can be hindered by various factors, including host-related, environmental, and iatrogenic factors. Preservation of the sinus mucosa is fundamental for the success of the surgery. Sinus mucosal prolapse, resulting from intraoperative mucosal trauma, can lead to sinus ostium obstruction and impaired drainage. Methods: In this pilot study, the authors describe a novel technique for the intraoperative management of sinus mucosal prolapse arising from endoscopic sinus surgery. This method entails the use of a balloon catheter expander to inflate and support the maxillary sinus mucosa, thereby limiting the occurrence of preventable prolapse-related complications. Results: The authors applied this surgical technique to a cohort of 11 patients. All patients developed prolapse affecting the posterosuperior region of the maxillary sinus mucosa. Each patient was followed up for at least 3 weeks following the surgery, and endoscopic assessment postoperatively revealed absent mucosal prolapse in all patients, highlighting the success and positive outcomes of the technique. The sinus mucosa retained its appropriate positioning, effectively draping the sinus wall in uninterrupted continuity with the maxillary antrostomy. Conclusion: The authors advocate the use of a Foley catheter as a cost-effective and readily available alternative to the traditional balloon sinus catheter expander.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Usamah Hadi This is me
0000-0002-0252-8875
Lebanon

Helene Dabbous This is me
0000-0002-3971-9405
Lebanon

Jad Hosri This is me
0000-0002-7781-3486
Lebanon

Nadine El Hadi This is me
0009-0007-9001-6354
Lebanon

Zeina Korban This is me
0000-0003-3233-9642
Lebanon

Publication Date

May 13, 2024

Submission Date

February 23, 2024

Acceptance Date

March 24, 2024

Published in Issue

Year 2024 Volume: 7 Number: 1

DOI

https://doi.org/10.5152/ejra.2024.24123

IZ

https://izlik.org/JA48HL68UB

Cite

RIS / Bibtex

APA

Hadi, U., Dabbous, H., Hosri, J., El Hadi, N., & Korban, Z. (2024). Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management. European Journal of Rhinology and Allergy, 7(1), 17-20. https://doi.org/10.5152/ejra.2024.24123

AMA

1.Hadi U, Dabbous H, Hosri J, El Hadi N, Korban Z. Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management. Eur J Rhinol Allergy. 2024;7(1):17-20. doi:10.5152/ejra.2024.24123

Chicago

Hadi, Usamah, Helene Dabbous, Jad Hosri, Nadine El Hadi, and Zeina Korban. 2024. “Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management”. European Journal of Rhinology and Allergy 7 (1): 17-20. https://doi.org/10.5152/ejra.2024.24123.

EndNote

Hadi U, Dabbous H, Hosri J, El Hadi N, Korban Z (May 1, 2024) Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management. European Journal of Rhinology and Allergy 7 1 17–20.

IEEE

[1]U. Hadi, H. Dabbous, J. Hosri, N. El Hadi, and Z. Korban, “Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management”, Eur J Rhinol Allergy, vol. 7, no. 1, pp. 17–20, May 2024, doi: 10.5152/ejra.2024.24123.

ISNAD

Hadi, Usamah - Dabbous, Helene - Hosri, Jad - El Hadi, Nadine - Korban, Zeina. “Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management”. European Journal of Rhinology and Allergy 7/1 (May 1, 2024): 17-20. https://doi.org/10.5152/ejra.2024.24123.

JAMA

1.Hadi U, Dabbous H, Hosri J, El Hadi N, Korban Z. Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management. Eur J Rhinol Allergy. 2024;7:17–20.

MLA

Hadi, Usamah, et al. “Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management”. European Journal of Rhinology and Allergy, vol. 7, no. 1, May 2024, pp. 17-20, doi:10.5152/ejra.2024.24123.

Vancouver

1.Usamah Hadi, Helene Dabbous, Jad Hosri, Nadine El Hadi, Zeina Korban. Maxillary Sinus Mucosal Prolapse: A Pilot Study Describing a New Technique for Intraoperative Management. Eur J Rhinol Allergy. 2024 May 1;7(1):17-20. doi:10.5152/ejra.2024.24123