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Canine fossa puncture in endoscopic sinus surgery: report of two cases Please cite this article as: Sireci F, Nicolotti M, Battaglia P, Sorrentino R, Castelnuovo P, Canevari FR. Canine fossa puncture in endoscopic sinus surgery: report of two cases. Braz J Otorhinolaryngol. 2017;83:594-9.

Abstract

Introduction:

Chronic rhinosinusitis with nasal polyposis is a common chronic disease that often affects maxillary sinus. Endoscopic sinus surgery is the most common procedure for treating the majority of maxillary sinus lesions.

Objective:

To demonstrate the role of canine fossa puncture during endoscopic sinus surgery procedure in patients with severe maxillary sinus disease.

Methods:

We present 2 cases where canine fossa puncture has been performed as method to obtain a complete access to the maxillary antrum.

Results:

According our experience, 2 cases on 296 endoscopic sinus surgery (0.6%) where antrostomy and used of angled microdebrider were not sufficient, canine fossa puncture has been performed as an alternative method to obtain a complete access to the maxillary antrum.

Conclusion:

Although the advent of endoscopic sinus surgery, our cases support the fact that actually canine fossa puncture is a minimally invasive technique useful in selected cases.

KEYWORDS
Canine fossa puncture; Middle meatal antrostomy; Maxillary sinusitis; Angled microdebrider

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