Chronic Rhinosinusitis with Nasal polyps: the Brazilian way for assessing and treating medically – moderator: Wilma Anselmo-Lima

⁃                DataSinus – The Brazilian Real World Rhinology Databse - Marco Fornazieri

⁃               Brazilian vs. Caucasian inflammatory profiles: key differences and implications – Fabrizio Romano

⁃                Comprehensive assessment of olfactory dysfunction - Marcio Nakanisi

⁃                Medical vs. Surgical management – where is the boundary between them? - Otávio Piltcher

⁃                The Brazilian Guideline 2024 for the use of biologicals in CRSwNP - Fabiana Valera 

Central compartment atopic disease is a subgroup of chronic sinusitis. Here, the symptoms affect the central portion of the nasal airway. Allergy is usually the underlying cause, and treatment may involve antiallergic therapy and, if necessary, limited surgery.

This round table would consist of 4 /5 experts in the field of facial pain who would be able to enlarge on the differential diagnosis of facial pain, its pathophysiology, medical and non-medical management. Outcome objectives: at the end of the round table trainees would be able to (1) differentiate between facial pain of rhinogenic and non-rhinogenic origin (2) would understand the physiology behind chronic facial pain (3) would be able to formulate a management plan for patients presenting in the rhinology clinic

Background

the maxillary sinus is a key anatomical structure in endoscopic sinonasal surgery and presents a wide spectrum of surgical indications, including inflammatory, odontogenic, tumoral, and traumatic diseases. Over recent decades, surgical management has evolved from conventional middle meatal antrostomy to extended and function-preserving endoscopic approaches that allow comprehensive access to all sinus compartments. Advances in anatomical understanding, imaging, and endoscopic techniques have led to the development of approaches such as endonasal maxilectomy or as the prelacrimal route, which offers broad exposure of the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct. Despite these advances, appropriate selection of the surgical approach remains challenging and highly dependent on surgeon expertise.

description

this instructional course is designed as a structured and practical overview of contemporary endoscopic surgical techniques for the maxillary sinus. The course will systematically review the spectrum of approaches, including standard and extended middle meatal antrostomy, transnasal endoscopic medial maxillectomy, and the prelacrimal approach. Emphasis will be placed on surgical anatomy, indications, technical nuances, limitations, and potential complications of each technique. Comparative analysis will be used to highlight the advantages and drawbacks of different approaches, with particular attention to functional preservation and surgical efficacy. The course will incorporate anatomical illustrations, surgical videos, and case-based discussions to facilitate clinical decision-making.

outcome objectives

at the end of this course, participants will be able to:

1. identify key anatomical landmarks and variations relevant to maxillary sinus surgery.

2. understand the indications and contraindications for each endoscopic approach to the maxillary sinus.

3. select the most appropriate surgical technique based on pathology, extent of disease, and surgical goals.

4. appreciate the role of the prelacrimal approach in comparison with traditional and extended techniques.

5. apply a rational, stepwise strategy for maxillary sinus surgery aimed at maximizing outcomes while minimizing morbidity.