Complete removal of polyps and thick mucus from the severely diseased maxillary sinus
is key in allowing the resolution of symptoms. The canine fossa trephination (CFT)
procedure is a highly effective means of clearing diseased material from all areas
of the maxillary sinus and is especially useful in patients with Sampter's triad and
fungal sinusitis. However, many surgeons have failed to adopt this technique for fear
of its potential complications. Numerous technical refinements have been developed
in recent years, significantly reducing the rate of adverse outcomes following the
CFT. This article describes the steps involved in performing the CFT, with an emphasis
on the avoidance of complications.
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References
- Canine fossa puncture and clearance of the maxillary sinus for the severely diseased maxillary sinus.Laryngoscope. 2005; 115: 1026-1029
- Patterns of innervation of the anterior maxilla: a cadaver study with relevance to canine fossa puncture of the maxillary sinus.Laryngoscope. 2005; 115: 1785-1788
- The incidence of complications after canine fossa puncture performed during endoscopic sinus surgery.Am J Rhinol. 2005; 19: 203-206
- Transillumination-assisted maxillary trephination: cadaver validation of a new technique.Laryngoscope. 2009; 119: 984-987
- The incidence of complications using new landmarks and a modified technique of canine fossa puncture.Am J Rhinol. 2007; 21: 316-319
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© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
