Complete ethmoidectomy
by Kailash Sant Manickavasagam

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

The concept of complete ethmoidectomy not only achieves total disease removal but also secures good drainage of normal secretions. It facilitates ease of postoperative/follow-up endoscopies only with 0 degree endoscope. Needless to say, following this procedure, manouvering angled suction cannulas in the cavity and detecting early recurrences is easy in the outpatient department. This is specially true in allergic fungal rhinosinusitis cases. This means the anterior as well as posterior skull base from frontal recess to planum sphenoidale have to be cleared from polyps, else the residual disease will show eventually to get labeled as “recurrence”. Also the cells over and adjacent to the lamina papyracea and the lateral and medial aspects of middle and superior turbinates have to be addressed thoroughly. When performed, the chamber sinuses, i.e. the frontal, maxillary and sphenoid sinuses need to be widely opened by whichever technique one uses to achieve the so-called end point of this procedure. This practice of achieving complete exenteration of all air cells helps a lot in dealing with cases of advanced endoscopic procedures as well.

Report this Video

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor