scholarly journals Utility of Intraoperative Flexible Endoscopy in Frontal Sinus Surgery

2017 ◽  
Vol 8 (2) ◽  
pp. ar.2017.8.0205 ◽  
Author(s):  
Eric T. Carniol ◽  
Alejandro Vázquez ◽  
Tapan D. Patel ◽  
James K. Liu ◽  
Jean Anderson Eloy
Keyword(s):  
Surgical Management ◽  
Frontal Sinus ◽  
Surgical Techniques ◽  
Disease Process ◽  
Flexible Endoscopy ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Frontal Sinus Surgery ◽  
Far Lateral ◽  
Draf Iii

Background Surgical management of the frontal sinus can be challenging. Extensive frontal sinus pneumatization may form a far lateral or supraorbital recess that can be difficult to reach by conventional endoscopic surgical techniques, requiring extended approaches such as the Draf III (or endoscopic modified Lothrop) procedure. Rigid endoscopes may not allow visualization of these lateral limits to ensure full evacuation of the disease process. Methods Here we describe the utility of intraoperative flexible endoscopy in two patients with far lateral frontal sinus disease. Results In both cases, flexible endoscopy allowed confirmation of complete evacuation of pathologic material, thereby obviating more extensive surgical dissection. Conclusion In cases where visualization of the far lateral frontal sinus is inadequate with rigid endoscopes, flexible endoscopy can be used to determine the need for more extensive dissection.

scholarly journals Draf III frontal sinus surgery for the treatment of Pott’s puffy tumour in adults: our case series and a review of frontal sinus anatomy risk factors

2020 ◽  
Vol 277 (8) ◽  
pp. 2271-2278
Author(s):  
Alfonso Luca Pendolino ◽  
Foteini Stefania Koumpa ◽  
Henry Zhang ◽  
Samuel C. Leong ◽  
Peter J. Andrews
Keyword(s):  
Risk Factors ◽  
Frontal Sinus ◽  
Case Series ◽  
Sinus Surgery ◽  
Frontal Sinus Surgery ◽  
Draf Iii

Frontal Sinus Surgery: The State of the Art

2016 ◽  
Vol 7 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Michael J Marino ◽  
Edward D McCoul
Keyword(s):  
Outcomes Research ◽  
Frontal Sinus ◽  
State Of The Art ◽  
The State ◽  
Sinus Surgery ◽  
Indications For Surgery ◽  
Ongoing Research ◽  
Sinus Disease ◽  
Frontal Sinus Surgery ◽  
Essential Components

ABSTRACT Aim: Review and describe the essential components of modern frontal sinus surgery. Background Frontal sinus surgery has evolved considerably over the last century, and advances in imaging, optics, and instrumentation have contributed to contemporary treatment paradigms. Outcomes assessment has had an important role in identifying indications for surgery and future areas of research. Review results Numerous advancements are part of modern frontal sinus surgery and the treatment of frontal sinusitis. Anatomic studies have revealed variations that are associated with disease and pose challenges for surgery. Open approaches remain relevant in situations of difficult disease or as part of combined approaches. Endoscopic surgery, however, is central to contemporary surgical management of frontal sinus disease. Evolving instrumentation and the development of new implantable devices are increasingly relevant in the endoscopic era. Outcomes research has refined indications for surgery and identifies areas for ongoing research. Conclusion State-of-the-art frontal sinus surgery is the product of significant evolution and advancement. Modern surgery is reflective of improved optics and new instrumentation, and the central role of endoscopic approaches in treating frontal sinus disease. Outcomes research has been essential for developing an evidenced-based approach to frontal sinus surgery. Clinical significance A review of the essential components of state-of-the-art frontal sinus surgery for the practicing otolaryngologist. How to cite this article Marino MJ, McCoul ED. Frontal Sinus Surgery: The State of the Art. Int J Head Neck Surg 2016;7(1): 5-12.

scholarly journals Prevalence of Modified Lothrop (Draf-III) Frontal Sinus Surgery Indications in Iran and their Association with Symptom Release

2016 ◽  
Vol 38 (2) ◽  
pp. 70-74
Author(s):  
Peyman Boroomand ◽  
Masoumeh Saeedi ◽  
Hamidreza Karimi Sari ◽  
Seyed Hadi Samimi Ardestani ◽  
Mojtaba Mohammadi Ardehali ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Sinus Surgery ◽  
Frontal Sinus Surgery ◽  
Draf Iii

Patient-reported olfaction improves following outside-in Draf III frontal sinus surgery for chronic rhinosinusitis

2018 ◽  
Vol 129 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Eugene H. Wong ◽  
Timothy Q. Do ◽  
Richard J. Harvey ◽  
Carolyn A. Orgain ◽  
Raymond Sacks ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Frontal Sinus Surgery ◽  
Patient Reported ◽  
Draf Iii

Use of a Foley catheter for short-term drainage in frontal sinus surgery

1989 ◽  
Vol 103 (4) ◽  
pp. 375-378 ◽  
Author(s):  
T. G. A. Ijaduola
Keyword(s):  
Chronic Disease ◽  
Surgical Technique ◽  
Frontal Sinus ◽  
Foley Catheter ◽  
University Teaching ◽  
Sinus Surgery ◽  
Short Term ◽  
Sinus Disease ◽  
Frontal Sinus Surgery ◽  
Drainage Technique

AbstractFrontal sinus surgery for chronic disease presents a variety of problems, in particular that of drainage. No matter how successful the surgical technique is in clearing disease from the sinus, it is still important that the fronto-nasal duct is kept patent unless the procedure is an obliterative one. Usually a tube is inserted for drainage and has to be kept in place for several weeks or months. This paper presents a study of 16 patients, suffering from frontal sinus disease, in whom a short-term drainage technique using a Foley catheter was employed between 1979 and 1988 at Lagos University Teaching Hospital, Nigeria. This type of drainage allows effective anchorage and irrigation with a decongestant. It has been found to give satisfactory results after 14 days in place and has had no unusual complications. It is therefore recommended for use in such cases.

Risk factors and outcomes for primary, revision, and modified Lothrop (Draf III) frontal sinus surgery

2012 ◽  
Vol 3 (5) ◽  
pp. 412-417 ◽  
Author(s):  
Yuresh Naidoo ◽  
Ahmed Bassiouni ◽  
Mark Keen ◽  
Peter-John Wormald
Keyword(s):  
Risk Factors ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Frontal Sinus Surgery ◽  
Draf Iii

Frontal sinus surgery 2004: update of clinical anatomy and surgical techniques

2004 ◽  
Vol 15 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Michael Friedman ◽  
Darius Bliznikas ◽  
Ramakrishnan Vidyasagar ◽  
Roee Landsberg
Keyword(s):  
Frontal Sinus ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Clinical Anatomy ◽  
Frontal Sinus Surgery

Comparison between Three-Dimensional and Triplanar Computed Tomography Imaging of the Frontal Recess

2009 ◽  
Vol 23 (5) ◽  
pp. 502-505 ◽  
Author(s):  
Seth J. Isaacs ◽  
Parul Goyal
Keyword(s):  
Computed Tomography ◽  
Frontal Sinus ◽  
Three Dimensional ◽  
Surgical Techniques ◽  
Ct Images ◽  
Outflow Tract ◽  
Sinus Surgery ◽  
3D Ct ◽  
Sinus Disease ◽  
Frontal Recess

Background Despite advances in endoscopic surgical techniques, management of frontal sinus disease remains challenging. Much of this is related to the complex nature of frontal recess anatomy. A thorough understanding of frontal recess anatomy is paramount for the safety and success of frontal sinus surgery. Three-dimensional (3D) computed tomography (CT) may allow surgeons to obtain a more complete preoperative assessment of frontal recess anatomy. The purpose of this study was to determine if reconstructed 3D CT images as an adjunct to conventional triplanar imaging provide additional information regarding the frontal recess anatomy. Methods A prospective study was performed. Two otolaryngologists reviewed the CT scans of 25 patients referred for routine paranasal sinus disease. The findings from review of the triplanar CT images were compared with the findings from review of the 3D reconstructions. Each study was assessed for (1) frontoethmoidal cells, (2) agger nasi cell, (3) subrabullar and frontal bullar cells, (4) intersinus septal cell, (5) superior uncinate process attachment site, and (6) and frontal sinus outflow tract. The examiners rated the usefulness of each study to identify each of the aforementioned anatomic subsites using a modified 5-point Likert scale. Results Intersinus septal cells, supraorbital ethmoid cells, and the anterior–posterior dimension of the frontal sinus outflow tract were better defined on the reconstructed 3D CT images. Conclusion Three-dimensional CT is a useful adjunct to the conventional triplanar studies for the evaluation of frontal sinus and recess anatomy. This technique can define certain anatomic variants more effectively than 2D multiplanar reconstructed images.

Impact of Draf III, Draf IIb, and Draf IIa frontal sinus surgery on nasal irrigation distribution

2019 ◽  
Vol 10 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Henry P. Barham ◽  
Christian A. Hall ◽  
Stephen C. Hernandez ◽  
Harry E. Zylicz ◽  
Megan M. Stevenson ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Sinus Surgery ◽  
Nasal Irrigation ◽  
Frontal Sinus Surgery ◽  
Draf Iii

scholarly journals Riedel’s Procedure: A Modification to Obliterate Step Defect

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Abdul Nassimizadeh ◽  
Mohammad Nassimizadeh ◽  
Shahzada Ahmed
Keyword(s):  
Soft Tissue ◽  
Endoscopic Surgery ◽  
Frontal Sinus ◽  
Complete Removal ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Frontal Sinus Surgery ◽  
Tissue Flap ◽  
Soft Tissue Flap ◽  
Step Defect

Sinus surgery was first introduced by the ancient Egyptians. In 1750 was the first modern description of frontal sinus surgery. In 1898, Riedel advocated complete removal of the anterior table and floor of the frontal sinus while simultaneously stripping the mucosa. The major postoperative issue involved gross forehead deformity. We aim to provide a modification to reduce the postoperative “step” defect. Riedel’s procedure is an effective way of managing frontal sinus disease when endoscopic surgery has repetitively failed. Use of a pedicled pericranial/galeal soft tissue flap can effectively reduce cosmetic deformity postoperatively.

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