Endoscopic Frontal Sinusotomy Using the Suprainfundibular Plate as a Key Landmark

Yoon, Joo Heon; Moon, Hyoung Jin; Kim, Chang Hoon; Hong, Seong Soo; Kang, Seong Seok; Kim, Kyubo

doi:10.1097/00005537-200209000-00033

Cited by 13 publications

(11 citation statements)

References 14 publications

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“…The presence of both suprabullar recess and SBC has been rarely (2.6%) demonstrated; in this case we assume that more than one primordial bullar cell were present and those not forming the frontal sinus gave origin to SBCs. While growing toward the frontal bone, the bullar cell must pass medial or lateral to the suprainfundibular plate . Since the suprabullar recess was mostly associated with a lateral FSDP, we suppose that the bullar cell tends to stay close to the orbit while ascending toward the frontal bone, passing laterally to the suprainfundibular plate.…”

Section: Discussionmentioning

confidence: 95%

“…The frontal sinus develops from 1 of these 3 groups of cells and the FSDP subsequently acquires two possible spatial relationships (ie, medial or lateral) with the so‐called “suprainfundibular plate,” 1 of the vertical insertions of the UP that joins the anterior wall of the ethmoidal bulla (Fig. ) . Meanwhile, primordial cells, which do not give rise to the frontal sinus, make up the frontoethmoidal air spaces surrounding the FSDP.…”

mentioning

confidence: 99%

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The Terracol and Ardouin developmental model of frontal sinus drainage pathway and surrounding spaces: a radiologic validation

Ferrari

Schreiber

Mattavelli

et al. 2017

Int Forum Allergy Rhinol

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

The Terracol and Ardouin developmental model of frontal sinus drainage pathway and surrounding spaces: a radiologic validation

Ferrari

Schreiber

Mattavelli

et al. 2017

Int Forum Allergy Rhinol

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“…While PJ Wormald advocated the modified endoscopic Lothrop procedure as an effective form of treatment in the management of complicated FS disease ( 11 ). Recently, Yoon et al ( 12 ) have proposed “SIP” as the key anatomy for endonasal endoscopic FS surgery. Compared with the previously mentioned common procedures for endoscopic FS surgery, the Draf IIb and Draf III types of FS surgery and the “axillary flap technique” created by Draf et al have the advantage of completely opening the FS and are suitable for patients who lack surgical anatomical landmarks after multiple surgeries ( 13 – 15 ).…”

Section: Discussionmentioning

confidence: 99%

Precision Endonasal Endoscopic Surgery of the Frontal Recess Cells and Frontal Sinus Guided by the Natural Sinus Drainage Pathway

et al. 2022

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BackgroundThe endoscopic endonasal approach to removing lesions in the nasal cavity and sinuses has become the modern first choice. However, if endoscopic surgery is performed without proper knowledge of sinus anatomy, there is a risk of residual lesions, recurrence, and even serious complications. Therefore, this article illustrates the importance of precise sinus opening guided by the natural sinus drainage pathway, using the anatomy of the frontal sinus (FS) and the frontal recess (FR) cells as an example.MethodA total of 82 sides cadaveric heads were dissected and analyzed, and the natural drainage pathways of the FR cells and FS were observed at 0°and 70°nasal endoscopic views, and the findings were summarized. The data of 79 patients who accepted endonasal endoscopic surgery (EES) guided by natural sinus drainage pathways to remove mucoceles in our department from January 2015 to January 2021 were retrospectively analyzed.ResultsTwo natural drainage pathways of the FR cells were discovered, identified, and named the medial pathway of the FR (MPFR) and the lateral pathway of the FR (LPFR). The 79 patients who accepted EES to remove mucoceles through the natural drainage pathways of FR cells and the FS showed significant improvement in clinical symptoms, and none of them had recurrence after surgery without serious complications.ConclusionThe EES of the FR cells and FS through the natural drainage pathways to remove the mucoceles facilitates exposure of the cells without residual lesions and without serious complications.

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“…The frontal sinus patency can be achieved by merely exposing the natural sinus ostium with only a rare need to enlarge it [14]. This procedure usually has the superior attachment of uncinate process and suprainfundibular plates as the most important landmarks [4,15,16]. However, the anatomical structures and landmarks can be compromised by severe polypoid lesions in anterior ethmoid sinus or by previous surgery or by postoperative scarring.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the Modified Endoscopic Frontal Sinus Surgery for Recurrent Chronic Frontal Sinusitis

Wang

Zhang

et al. 2013

Indian J Otolaryngol Head Neck Surg

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To modify the endoscopic frontal sinus surgery and improve the therapeutic effect of recurrent chronic frontal sinusitis (RCFS). Eighty-five patients with RCFS were divided into two groups. Endoscopic frontal sinus surgery through an approach of Frontomaxillary ProcessAgger Nasi, a modified Draf IIb procedure, was carried out in 51 patients (Group A), and conservative medication was applied in 34 patients as control (Group B). The therapeutic effect was prospectively evaluated with statistically validated measures of sinusitis-specific quality of life, sinonasal outcome test-20 questionnaire . Compared with pre-treatment, the average total score of SNOT-20 in RCFS patients was significantly decreased at the time of 6, 12 months after modified endoscopic frontal sinus surgery and medical treatments (p \ 0.05). However, the total score of SNOT20 was significantly lower in group A than group B at the same period of the follow-up after treatments (p \ 0.05). The overall efficacy evaluated by patients' self showed that the rate of ''much improved'' and ''improved'' was respectively 68.6 and 17.6 % in group A, and significantly better than group B (p \ 0.001). Furthermore, the frontal sinus patency rate in group A was 85 %, and significantly higher than group B (p \ 0.001). Endoscopic frontal sinus surgery through an approach of Frontomaxillary Process-Agger Nasi, a modified Draf IIb procedure, is an effective procedure to treat the RCFS.

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Endoscopic Frontal Sinusotomy Using the Suprainfundibular Plate as a Key Landmark

Cited by 13 publications

References 14 publications

The Terracol and Ardouin developmental model of frontal sinus drainage pathway and surrounding spaces: a radiologic validation

The Terracol and Ardouin developmental model of frontal sinus drainage pathway and surrounding spaces: a radiologic validation

Precision Endonasal Endoscopic Surgery of the Frontal Recess Cells and Frontal Sinus Guided by the Natural Sinus Drainage Pathway

Efficacy of the Modified Endoscopic Frontal Sinus Surgery for Recurrent Chronic Frontal Sinusitis

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