Changing paradigms in frontal sinus cerebrospinal fluid leak repair

Jones, Virginia; Virgin, Frank W.; Riley, Kristen; Woodworth, Bradford A.

doi:10.1002/alr.21019

Cited by 68 publications

(84 citation statements)

References 18 publications

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“…Hence, the follow-up requirements are more or less similar for both the approaches used for frontal sinus defect. The feasibility of repair of posterior table defects were nicely studied in cadaver by Eloy et al 15 and Batra et al 16 Few reports of repair similar defects has been reported earlier in literature by authors like Anverali et al, 2 Jones et al 14 and Eloy et al 6 Basing on this, we attempted the repair of the defect using endoscopic technique in this case along with resection of the mucocele and could find that there was no technical difficulty in the feasibility in repairing the posterior table defect.…”

Section: Discussionmentioning

confidence: 98%

“…The transnasal endoscopic approach for posterior table fractures is technically difficult procedures due to lack of proper instrumentation and due to lateral extension leading to lack of exposure for surgical work in the frontal sinus. 5,14 However, the endoscopic technique helps to avoid the morbidity of external approaches (e.g. coronal or brow incisions) and associated changes in cosmesis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Frontal Meningoencephalocele: Changing Trends

Patro¹,

Nabh²

2014

An International Journal Clinical Rhinology

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Frontal sinus defects involving the posterior table has always been challenging for the otolaryngologists. It traditionally involved open approaches like osteoplastic approach for the repair of defects or fractures involving the posterior table of frontal sinus. Better instrumentation, technique, and experience have increased the feasibility of endoscopic repair of frontal sinus skull-base defects. With the increased possibilities of endoscopic approach and instrumentation for the frontal sinus, an endoscopic repair of a posterior table defect with a meningoencephalocele in a long standing post-traumatic case has been described.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Frontal Meningoencephalocele: Changing Trends

Patro¹,

Nabh²

2014

An International Journal Clinical Rhinology

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“…Jones et al used this flap for resurfacing frontal defects, such as after cerebrospinal fluid leak, in 2012. 9 In a recent cadaver study, AlQahtani et al found that a posteriorly based nasoseptal flap could be used after the endoscopic modified Lothrop procedure. 10 The authors also described a laterally based nasoseptal flap for use during the endoscopic modified Lothrop procedure, and suggested that both posteriorly and laterally based flaps should be employed to cover both the anterior and posterior walls of the frontal sinus.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a septal mucosal flap for preventing re-stenosis following the Draf III procedure

2017

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Background: Re-stenosis and a consequent need for revision surgery are the most common problems in the follow-up period following endoscopic modification of the Lothrop procedure.Method: This paper reports a new technique for reconstructing and resurfacing of the posterior frontal recess bone for prevention of re-stenosis.Results: A 46-year-old man presented with a frontal sinus osteoma, and treatment featured an endoscopic modification of the Lothrop procedure. A vascularised, posteriorly based, septal mucosal flap was used in reconstruction. There have been no reported issues over 24 months of follow up.Conclusion: The use of a nasoseptal flap seems feasible to reduce scarring and recurrence of (common) frontal recess stenosis after a Draf III operation.

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“…60,61 Despite this evolution, leak sites located at an extreme superior or lateral location within the sinus are beyond the reach of current instruments and should be approached by open techniques. 62 Generally, frontal sinus CSF leaks are anatomically located either within the frontal recess or within the posterior wall of the proper sinus. Shi and colleagues 63 recently described endoscopic approaches for specific leak site locations within the frontal sinus.…”

Section: Frontal Sinus Defectsmentioning

confidence: 99%