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KMID : 0900220190260010052
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대한비과학회지
2019 Volume.26 No. 1 p.52 ~ p.55
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Treatment of Facial Neuralgia Developed after Inferior Meatal Antrostomy by Narrowing of the Inlet with Endoscopic Cartilage Graft
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Yi Jong-Sook
Jin Hong-Ryul
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Abstract
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Inferior meatal antrostomy (IMA) is a widely performed surgical technique to treat postoperative maxillary mucocele. The meth- od is safe and easy to perform, without major complications compared with other approaches. Facial pain after IMA is a rare clinical entity that can be challenging to diagnose and treat. The authors present an unusual case of acute facial neuralgia trig- gered by cold air that developed after IMA. The antrostomy was located at the anterior-most part of the inferior meatus, and the inlet size was relatively large compared with the size of the remaining sinus. Surgical narrowing of the antrostomy inlet using endoscopy dramatically reduced the symptoms, and symptom relief was maintained for up to one year after surgery.
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KEYWORD
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Facial pain, Caldwel-Luc operation, Inferior meatal antrostomy, Inferior orbital nerve dehiscence
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