Abstract：Objective: To discuss the clinical effects of patients with maxillary sinus diseases accepted with endoscopic anterior prelacrimal recess surgery and its complications. Methods: 70 patients with maxillary sinus disease from June 2014 to June 2016 were retrospectively analyzed, according to the different operation paths, 34 patients of them accepted with windowing of middle nasal meatus combined with inferior nasal meatus were taken as control group. 36 patients of them accepted with endoscopic anterior prelacrimal recess surgery were taken as research group. The patients in the study group underwent endoscopic anterior lacrimal recess approach, while the control group underwent endoscopic sinus approach through the lower nasal meatus. The intraoperative blood loss, operation time and length of stay were recorded in the two groups. The follow-up period was 12 months. The postoperative complications and recurrence of the two groups were observed. Results: The intraoperatve blood loss, operative time and hospital stays were (65.28±6.37) mL,(48.72±5.46) min and (5.86±0.68) d in research group, which were lower than that in control group, differences were statistically significance (P＜0.05). The complication occurrence rate and recurrence rate were 5.56% and 2.78% in research group, while that in control group were 26.47% and 20.59%,differences were statistically significance (P＜0.05). Conclusions: Patients with maxillary sinus diseases in treatments of endoscopic anterior prelacrimal recess surgery with less operative time, less intraoperative bleeding, lower complication occurrence rate and recurrence rate, which is worthy of clinical use.
2017, Vol. 23 
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