[Transsubmucosal maxilloethmoid sinus surgery through inferior turbinate (swinging of nasolacrimal duct and inferior turbinate)].

We recently devised a new technique for endonasal surgery, which simplifies maxillary antrotomy and ethmoidectomy, and dilates the middle nasal meatus widely enough to allow easier postoperative observation. Surgery is initiated by an incision similar to the one used for submucosal resection of the inferior turbinate. The bony inferior turbinate is resected, and the nasolacrimal duct is freed from the bone. Subsequently, the maxillary and ethmoidal sinuses are excenterated, with swinging of the membranaceous inferior turbinate and the nasolacrimal duct. Postoperative observation confirmed satisfactory results.