Efficacy of Piezosurgery Versus Conventional Osteotomy in Prelacrimal Approach Targeting Different Maxillary Sinus Pathologies

Mansoura University40 enrolled

Overview

The prelacrimal recess approach is a minimally invasive approach to maxillary sinus lesions. The current study aimed to evaluate the efficacy of piezosurgery versus conventional osteotomy while performing a prelacrimal apporach.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Maxillary Sinus Disease

Interventions

piezo-assisted prelacrimal apporachPROCEDURE

The removal of the bone in the prelacrimal approach was done using piezo ultrasonic device

conventional osteotomy prelacrimal approachPROCEDURE

The removal of the bone in the prelacrimal approach was done using conventional osteotome and hammer

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Any maxillary sinus pathology (recurrent Antrochoanal polyp, inverted papilloma, fungal ball, allergic fungal sinusitis, CRSwNP, CRSeNP, orbital floor fracture, etc). 2. Favorable prelacrimal recess (Type II or III Simmen classification) 3. Age\> 18 years. 4. No gender limitation. Exclusion Criteria: 1. patients with malignant sino-nasal tumors. 2. patients unfit for surgery

Locations (1)

Faculty of Medicine, Mansoura University

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

Intraoperative bleeding

The amount of blood collected in the suction device

Time frame: During the surgical procedure

Operative time

the time of surgical procedure

Time frame: During the surgical procedure

Secondary Outcomes

Postoperative hyposthesia

hyposthesia in the cheek and upper teeth after surgery, measured by the Barrow Institution grading of hyposthesia

Time frame: six months after surgery

Data from ClinicalTrials.gov

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