Abstract
Maxillary sinus myxoma is a rare benign tumor with locally aggressive behavior and can infiltrate surrounding structures. Surgical intervention is considered the primary procedure with several approaches for wider tumor exposure, complete tumor removal, and better wound healing. In this article, two cases of suspected unilateral and bilateral maxillary sinus myxoma were presented with different approaches applied for both cases. We managed two patients, a 37-year-old male with mass at right maxilla and a 60-year-old male with mass at both maxillae. Physical examination, radiology imaging, and pre-operative histopathology examination showed maxillary sinus myxoma. The total maxillectomy procedure with Weber Ferguson incision was performed for the 1st patient; meanwhile, the combined sub-labial degloving and left Weber Ferguson incision was performed for the 2nd patient.
Result: Clear and wide surgical fields were obtained in both cases with the approaches applied. Complete resection was performed, and follow-up showed no residue with an excellent clinical appearance.
Conclusion: Different approaches were planned based on the extent of the tumor, considering important structures nearby. Complete removal is the treatment of choice for proper healing, reconstruction procedures afterward, and prevention of recurrences.
Recommended Citation
Adham, Marlinda and Moulanda, Ferucha
(2021)
"Different Approaches of Suspected Unilateral and Bilateral Maxillary Sinus Myxoma, Two Rare Cases Report,"
The New Ropanasuri Journal of Surgery: Vol. 6:
No.
2, Article 5.
DOI: 10.7454/nrjs.v6i2.1108
Available at:
https://scholarhub.ui.ac.id/nrjs/vol6/iss2/5