The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances
The prelacrimal recess approach (PLRA) has advanced endoscopic sinonasal surgery by providing improved access to the maxillary sinus and adjacent anatomical regions while preserving critical structures such as the inferior turbinate (IT) and nasolacrimal duct (NLD). First introduced in 2013, the PLR...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Rhinologic Society
2025-03-01
|
| Series: | Journal of Rhinology |
| Subjects: | |
| Online Access: | http://j-rhinology.org/upload/pdf/jr-2024-00041.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850132290871492608 |
|---|---|
| author | Yeon Hee Im Soo Whan Kim Chan-Soon Park Dong-Hyun Kim |
| author_facet | Yeon Hee Im Soo Whan Kim Chan-Soon Park Dong-Hyun Kim |
| author_sort | Yeon Hee Im |
| collection | DOAJ |
| description | The prelacrimal recess approach (PLRA) has advanced endoscopic sinonasal surgery by providing improved access to the maxillary sinus and adjacent anatomical regions while preserving critical structures such as the inferior turbinate (IT) and nasolacrimal duct (NLD). First introduced in 2013, the PLRA has become an important technique for addressing various sinonasal pathologies. This review comprehensively evaluates the advancements, applications, and outcomes associated with the PLRA. The PLRA enables superior visualization and access to regions that are traditionally difficult to reach with conventional techniques. Standardized surgical steps emphasize meticulous preservation of the NLD and IT, while technical modifications have broadened its feasibility in patients with narrow prelacrimal recesses. Applications of the PLRA span diverse pathologies, including sinonasal inverted papilloma, fungal infections, odontogenic cysts, and tumors of the lacrimal system, orbit, and skull base. Anatomical studies reveal significant variations in prelacrimal recess dimensions across populations, affecting surgical feasibility. Sex-specific differences, ethnic variations, and age-related factors are important in patient selection. Clinical outcomes from multiple investigations validate the PLRA’s efficacy in maintaining sinonasal function while achieving comprehensive lesion removal. Comparative analyses with traditional approaches underscore the PLRA’s advantages in reducing postoperative morbidity and recurrence rates. Integration of the PLRA with complementary surgical approaches further expands its therapeutic applications while maintaining favorable safety profiles. The PLRA is a safe and effective surgical method that offers favorable outcomes in disease management, symptom resolution, and anatomical preservation. With ongoing innovations and refinements, the PLRA is poised to remain a cornerstone of minimally invasive sinonasal surgery, enabling the precise and safe treatment of complex pathologies. |
| format | Article |
| id | doaj-art-c3adb9cc0cf44e159a66b4b1e6a161b2 |
| institution | OA Journals |
| issn | 1229-1498 2384-4361 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Rhinologic Society |
| record_format | Article |
| series | Journal of Rhinology |
| spelling | doaj-art-c3adb9cc0cf44e159a66b4b1e6a161b22025-08-20T02:32:14ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612025-03-01321172710.18787/jr.2024.00041831The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent AdvancesYeon Hee Im0Soo Whan Kim1Chan-Soon Park2Dong-Hyun Kim3 Department of Otorhinolaryngology-Head and Neck Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Republic of KoreaThe prelacrimal recess approach (PLRA) has advanced endoscopic sinonasal surgery by providing improved access to the maxillary sinus and adjacent anatomical regions while preserving critical structures such as the inferior turbinate (IT) and nasolacrimal duct (NLD). First introduced in 2013, the PLRA has become an important technique for addressing various sinonasal pathologies. This review comprehensively evaluates the advancements, applications, and outcomes associated with the PLRA. The PLRA enables superior visualization and access to regions that are traditionally difficult to reach with conventional techniques. Standardized surgical steps emphasize meticulous preservation of the NLD and IT, while technical modifications have broadened its feasibility in patients with narrow prelacrimal recesses. Applications of the PLRA span diverse pathologies, including sinonasal inverted papilloma, fungal infections, odontogenic cysts, and tumors of the lacrimal system, orbit, and skull base. Anatomical studies reveal significant variations in prelacrimal recess dimensions across populations, affecting surgical feasibility. Sex-specific differences, ethnic variations, and age-related factors are important in patient selection. Clinical outcomes from multiple investigations validate the PLRA’s efficacy in maintaining sinonasal function while achieving comprehensive lesion removal. Comparative analyses with traditional approaches underscore the PLRA’s advantages in reducing postoperative morbidity and recurrence rates. Integration of the PLRA with complementary surgical approaches further expands its therapeutic applications while maintaining favorable safety profiles. The PLRA is a safe and effective surgical method that offers favorable outcomes in disease management, symptom resolution, and anatomical preservation. With ongoing innovations and refinements, the PLRA is poised to remain a cornerstone of minimally invasive sinonasal surgery, enabling the precise and safe treatment of complex pathologies.http://j-rhinology.org/upload/pdf/jr-2024-00041.pdfprelacrimal recess approachendoscopic sinus surgeryparanasal sinusesnasolacrimal duct |
| spellingShingle | Yeon Hee Im Soo Whan Kim Chan-Soon Park Dong-Hyun Kim The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances Journal of Rhinology prelacrimal recess approach endoscopic sinus surgery paranasal sinuses nasolacrimal duct |
| title | The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances |
| title_full | The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances |
| title_fullStr | The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances |
| title_full_unstemmed | The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances |
| title_short | The Prelacrimal Recess Approach: A Review of Surgical Applications, Outcomes, and Recent Advances |
| title_sort | prelacrimal recess approach a review of surgical applications outcomes and recent advances |
| topic | prelacrimal recess approach endoscopic sinus surgery paranasal sinuses nasolacrimal duct |
| url | http://j-rhinology.org/upload/pdf/jr-2024-00041.pdf |
| work_keys_str_mv | AT yeonheeim theprelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT soowhankim theprelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT chansoonpark theprelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT donghyunkim theprelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT yeonheeim prelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT soowhankim prelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT chansoonpark prelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances AT donghyunkim prelacrimalrecessapproachareviewofsurgicalapplicationsoutcomesandrecentadvances |