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Chapter-51 Endoscopic Surgery of the Frontal Sinus

BOOK TITLE: Sataloff’s Comprehensive Textbook of Otolaryngology: Head & Neck Surgery (Rhinology/Allergy and Immunology) -Volume 2

Author
1. Wei Calvin C
2. Jacobs Joseph B
ISBN
9789351524564
DOI
10.5005/jp/books/12714_52
Edition
1/e
Publishing Year
2016
Pages
8
Author Affiliations
1. Mount Sinai St. Luke’s—Roosevelt Hospital, New York, New York, USA
2. New York University Langone Medical Center, New York, New York, USA
Chapter keywords
circumferential mucosal injury, maxillary antrostomy, osteoneogenesis, prognostic factors, angled curettes, frontal sinusotomy, lamina papyracea, anterosuperior ethmoid, interfrontal sinus septal, benign tumors, anatomic considerations, drainage procedure, suprabullar recess, unilateral resection ethmoidectomy

Abstract

This chapter discusses endoscopic surgery of the frontal sinus, which is the most difficult sinus to address surgically due to the relatively inaccessible location of the frontal recess above and behind the anterior insertion of the middle turbinate. The osteoplastic flap with frontal sinus obliteration has been accepted as the surgical gold standard for the treatment of chronic frontal sinus until the endoscopic era. Frontal cells can be down-fractured and removed with a combination of through-cutting forceps and giraffe forceps. Resection of the bony partition between the supraorbital ethmoid cell and frontal ostium may widen the frontal recess further. The frontal sinus outflow tract is identified by using direct visualization and by probing with frontal sinus seekers or angled curettes. Determining the results of endoscopic frontal sinus surgery requires a long postoperative follow-up, as frontal sinus stenosis can occur years after frontal sinus surgery.

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