Prelacrimal-Transmaxillary Approach to Lateral Sphenoid Recess Skull Base Defects

Sejad Ahmadzada; Kachorn Seresirikachorn; Lu Hui Png; Raewyn G Campbell; Larry Kalish; Richard J Harvey

doi:10.1002/lary.31653

Prelacrimal-Transmaxillary Approach to Lateral Sphenoid Recess Skull Base Defects

Laryngoscope. 2024 Dec;134(12):4918-4922. doi: 10.1002/lary.31653. Epub 2024 Aug 1.

Authors

Sejad Ahmadzada¹, Kachorn Seresirikachorn^{1

2

3

4}, Lu Hui Png^{1

4

5}, Raewyn G Campbell^{1

4}, Larry Kalish^{1

6

7}, Richard J Harvey^{1

4

8}

Affiliations

¹ Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, New South Wales, Australia.
² Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
³ Endoscopic Nasal and Sinus Surgery Excellence Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
⁴ Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
⁵ Department of Otorhinolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore.
⁶ Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia.
⁷ Department of Otolaryngology, Head and Neck Surgery, Concord General Hospital, University of Sydney, Sydney, New South Wales, Australia.
⁸ School of Clinical Medicine, St Vincent's Healthcare Clinical Campus, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.

PMID: 39087572
DOI: 10.1002/lary.31653

Abstract

The lateral recess of a well-pneumatized sphenoid sinus is challenging to access surgically. Traditional methods require the use of multiple angled endoscopes and curved instruments which may limit visualization. We describe a prelacrimal-transpterygoid/maxillary approach which offers direct access to this region with a 0° endoscope. Laryngoscope, 134:4918-4922, 2024.

Keywords: lateral sphenoid recess; prelacrimal; sinus surgery; sphenoid sinus disease.

Publication types

Case Reports

MeSH terms

Endoscopy* / methods
Female
Humans
Male
Middle Aged
Skull Base* / diagnostic imaging
Skull Base* / surgery
Sphenoid Sinus* / diagnostic imaging
Sphenoid Sinus* / surgery