{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:59:15Z","timestamp":1769011155355,"version":"3.49.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"unspecified","delay-in-days":19,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001401_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>This study aimed to assess the outcomes of a prelacrimal recess approach assisted middle meatal antrostomy in the management of hard to reach maxillary sinus pathologies.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001401_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Twenty-five patients with maxillary sinus pathology underwent prelacrimal recess approach assisted middle meatal antrostomy (with a prelacrimal recess width of more than 3 mm). Patients were prospectively evaluated using both the Arabic version of the Sino-Nasal Outcome Test-22 and nasal endoscopy at least 6 months post-operatively.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001401_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Our study included 25 maxillary sinuses (13 with antrochoanal polyps, 10 with maxillary fungal ball and 2 with a migrated part of a tooth). At a mean follow-up period of 10.9 months, all patients showed significant improvement in total mean Sino-Nasal Outcome Test-22 score. There was recurrence of one case with antrochoanal polyp and two cases with asymptomatic synechia. Injury to the nasolacrimal duct was not reported.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001401_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>A prelacrimal recess approach assisted middle meatal antrostomy is a reliable and safe technique to manage pathologies in hard to reach regions within the maxillary sinus.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001401","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T09:38:18Z","timestamp":1595237898000},"page":"636-641","source":"Crossref","is-referenced-by-count":5,"title":["Third window approach assisted middle meatal antrostomy: prospective cohort study of the two ports technique in management of hard to reach maxillary sinus pathology"],"prefix":"10.1017","volume":"134","author":[{"given":"M O","family":"Tomoum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Askar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A H","family":"Hamad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"El-Naggar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Amer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"S0022215120001401_ref6","first-page":"743","article-title":"Endoscopic nasal lateral wall dissection approach to maxillary sinus [in Chinese]","volume":"42","author":"Zhou","year":"2007","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"S0022215120001401_ref4","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2850"},{"key":"S0022215120001401_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100128877"},{"key":"S0022215120001401_ref13","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2010.24.3486"},{"key":"S0022215120001401_ref9","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198812000-00004"},{"key":"S0022215120001401_ref11","doi-asserted-by":"publisher","DOI":"10.4103\/ejo.ejo_63_17"},{"key":"S0022215120001401_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05446-0"},{"key":"S0022215120001401_ref16","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.3760\/cma.j.issn.0366-6999.20121754","article-title":"Intranasal endoscopic prelacrimal recess approach to maxillary sinus","volume":"126","author":"Zhou","year":"2013","journal-title":"Chin Med J (Engl)"},{"key":"S0022215120001401_ref17","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22455"},{"key":"S0022215120001401_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00015"},{"key":"S0022215120001401_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22368"},{"key":"S0022215120001401_ref19","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.8331"},{"key":"S0022215120001401_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21183"},{"key":"S0022215120001401_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002699"},{"key":"S0022215120001401_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5078-1"},{"key":"S0022215120001401_ref15","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2018.01165"},{"key":"S0022215120001401_ref10","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin16.318"},{"key":"S0022215120001401_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21640"},{"key":"S0022215120001401_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2016.08.013"},{"key":"S0022215120001401_ref12","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1111\/j.1749-4486.2009.01995.x","article-title":"Psychometric validity of the 22-item sinonasal outcome test","volume":"34","author":"Hopkins","year":"2009","journal-title":"Clin Otolaryngol"}],"container-title":["The Journal of Laryngology &amp; 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