Endoscopic-Assisted Maxillectomy: A Combined Approach for the Management of Maxillary Malignant Tumors.

Abstract

Maxillary sinus cancer presents unique challenges due to its slow growth and concealed location, often leading to delayed diagnosis and advanced stage at presentation. Wide resection, including maxillectomy, is frequently necessary for curative treatment. However, achieving clear resection margins while preserving function and aesthetics remains crucial. This article evaluates a combined surgical approach for maxillectomy, aiming to optimize oncological outcomes while minimizing morbidity and preserving function and aesthetics. A retrospective evaluation of patients undergoing endoscopic-assisted maxillectomy was conducted, focusing on demographics, tumor characteristics, surgical techniques, and outcomes. Data including operative time, complications, reconstruction methods, and follow-up were collected and analyzed. Ten patients underwent endoscopic-assisted maxillectomy, with favorable outcomes in terms of oncological radicality and functional preservation. Complications were minimal, and all patients achieved R0 margins. Adjuvant therapies were tailored based on individual patient characteristics, with promising survival outcomes and acceptable morbidity. The combined approach offers advantages over traditional methods by providing precise visualization and control in both endonasal and intraoral aspects of the resection. It allows for en-bloc tumor removal with minimal morbidity. Endoscopic-assisted maxillectomy offers a safe and effective approach for achieving optimal oncological outcomes while preserving function and aesthetics. It represents a significant evolution in the management of maxillary tumors, demanding further investigation and refinement.