{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:36:39Z","timestamp":1777386999427,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic sinus surgery with a middle meatal antrostomy is a common intervention in the treatment algorithm for maxillary sinus pathologies. However, this procedure has its origins in a time when simple ventilation of the sinus cavity was the primary (and only often) goal of surgery. In some patients, persistent mucociliary dysfunction occurs despite ventilatory surgery. Although the endoscopic modified medial maxillectomy (MMM) was originally described for tumour surgery, it provides a radical yet still functional option to overcome chronic sinus dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The goal of this study was to describe the functional status of a post-MMM sinus cavity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A consecutive series of patients who underwent at least a unilateral MMM by three tertiary rhinologists were retrospectively reviewed. Prospectively collected data included patient demographics (including age, gender, smoking status and comorbidities), disease-specific factors, microbiology, and preoperative patient-reported symptoms based on the 22-item Sinonasal Outcome Test-22 (SNOT-22) and radiology. The primary outcome of the study was the presence of sinus dysfunction, defined by mucostasis or pooling on endoscopic examination at the last follow-up. Secondary outcomes included the need for revision surgery as a result of sinus dysfunction and the improvement in SNOT-22 score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 551 medial maxillectomies (47.0% female, 52.9\u2009\u00b1\u200916.8 years) were performed. Very few patients experienced post-operative sustained mucostasis following MMM (10.2%) and even fewer required revision surgery (5.0%). Chronic obstructive pulmonary disease (odds ratio (OR)\u2009=\u20096.82, P\u2009&lt;\u20090.002.) and asthma (OR\u2009=\u20092.48, P\u2009=\u20090.03) were associated with mucostasis. Patients who underwent an MMM experienced a notable postoperative improvement in SNOT-22 score (45.9\u2009\u00b1\u200923.7 (pre-op) vs. 23.6\u2009\u00b1\u200919.4 (post-op); paired t-test, P\u2009&lt;\u20090.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MMM, whether performed for access to pathology or with the intent to avoid mucous \u2018sumping\u2019 with the sinus, can provide a long-term functional maxillary sinus cavity with minimal morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19458924231168219","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T02:30:10Z","timestamp":1681957810000},"page":"476-484","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Modified Medial Maxillectomy as a Radical or Extended,\u2014yet Still Functional,\u2014Technique in Sinus Surgery"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5799-5083","authenticated-orcid":false,"given":"Eugene H","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Concord Repatriation General Hospital, University of Sydney, Camperdown, Australia"},{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4591-8942","authenticated-orcid":false,"given":"Marina N","family":"Cavada","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"},{"name":"Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A","family":"Orgain","sequence":"additional","affiliation":[{"name":"University of Vermont Medical Center, Burlington, VT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica W","family":"Grayson","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Alvarado","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raewyn G","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Concord Repatriation General Hospital, University of Sydney, Camperdown, Australia"},{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"},{"name":"Department of Otolaryngology, Head and Neck Surgery, Royal Prince Alfred Hospital, University of Sydney, Camperdown, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Harvey","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"},{"name":"Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond","family":"Sacks","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Concord Repatriation General Hospital, University of Sydney, Camperdown, Australia"},{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"},{"name":"Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larry H","family":"Kalish","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Concord Repatriation General Hospital, University of Sydney, Camperdown, Australia"},{"name":"Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"bibr1-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283425213"},{"key":"bibr2-19458924231168219","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2010.24.3531"},{"key":"bibr3-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000009"},{"key":"bibr4-19458924231168219","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2850"},{"key":"bibr5-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1177\/1945892419895172"},{"key":"bibr6-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102541"},{"key":"bibr7-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2010.02218.x"},{"key":"bibr8-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21113"},{"key":"bibr9-19458924231168219","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2013.06.033"},{"key":"bibr10-19458924231168219","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino13.056"},{"key":"bibr11-19458924231168219","first-page":"194589242211448","author":"Seresirikachorn 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