Experimental surgery of the frontal sinus The role of the ostium and nasofrontal duct in postoperative healing

Walsh, Theodore E.

doi:10.1288/00005537-194302000-00001

Cited by 54 publications

(10 citation statements)

References 10 publications

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“…Some months later it was found that the operated-on frontal sinus and its opening into the nose had been completely filled by scar tissue. Experimental confirmation of these findings has been obtained by Walsh (1943).…”

Section: Some Observations On the Surgery Of The Frontal Sinussupporting

confidence: 57%

Treatment of Nasal Polypi, With Comments on Frontal Sinus Surgery

Harpman¹

1954

Archives of Otolaryngology - Head and Neck Surgery

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Section: Some Observations On the Surgery Of The Frontal Sinussupporting

confidence: 57%

Treatment of Nasal Polypi, With Comments on Frontal Sinus Surgery

Harpman¹

1954

Archives of Otolaryngology - Head and Neck Surgery

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“…Fat was the most common agent, although MacBeth 10 recommended to permit obliteration to occur by osteoneogenesis after the mucosa was stripped away. In support of this concept, in animal studies in the 1930s, Hilding 77 and Walsh 78 found that the denuded sinus filled with bone and fibrous tissue. However, Bosley 62 performed this procedure on 100 consecutive patients, documenting a 15% incidence of recurrent headache and incomplete obliteration by bone; these cases required additional surgery.…”

Section: Historical Trends In Frontal Sinus Surgerymentioning

confidence: 99%

“…In 1943 Walsh 78 focused his thesis for the American Laryngological, Rhinological and Otological Society, Inc., on the role of the nasofrontal duct in the development of chronic frontal sinusitis. He utilized the frontal sinuses of dogs as a model and devised three experimental groups.…”

Section: Experimental Observationsmentioning

confidence: 99%

100 Years of Frontal Sinus Surgery

1997

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The surgical treatment of chronic inflammatory frontal sinus disease over the past century has varied between intranasal and external procedures. There has been constant modification of these techniques; however, a single approach that will lead to relief of symptoms, eradication of disease with preservation of function, and a minimum of deformity has not yet been attained. The functional theory of sinus disease, the evolution of endoscopic techniques, and data provided by the computed tomography scan have renewed our interest in the anatomy of the lateral nasal wall and endonasal surgery. Extensive literature exists concerning the results of ethmoid, maxillary, and sphenoid endoscopic surgery. However, detailed information is not available on the treatment of inflammatory frontal sinusitis. The author presents the results of a retrospective analysis of a series of 101 patients with inflammatory frontal sinusitis who underwent endoscopic surgery that included the frontoethmoid complex. Results for improvement of symptoms as well as endoscopic findings are presented. Relief of symptoms was significant but did not correlate with postoperative endoscopic findings in patients with hyperplastic and polypoid sinusitis. Patients with anterior ethmoid cell encroachment on the frontal sinus outflow tract had a positive correlation between improvement of symptoms and postoperative endoscopic findings. Frontal recess stenosis was associated with a poor outcome. Anatomic obstruction of the frontonasal duct is most consistent with the functional theory of sinusitis.

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“…Walsh reported that it is important to remove the mucosa from the frontal recess as well as the sinus mucosa is removed otherwise the sinuses will not become obliterated. 14 With the introduction of computerized tomography (CT) and endoscopes it became possible to open the frontal sinus to a greater or lesser extent with mucosal preservation dependent on the extent of disease and the skill of the operator.…”

Section: History Of Frontal Sinus Surgerymentioning

confidence: 99%

The place of Riedel’s procedure in contemporary sinus surgery

Raghavan

Jones

2004

J. Laryngol. Otol.

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Many operative procedures have been described to treat frontal sinus disease with varying results. Obliteration of the frontal sinus is attempted when drainage procedures fail. Most large series of patients undergoing sinus obliteration have reported recurrent disease yet the management of these patients is rarely discussed. We believe Riedel's procedure has an important role in the management of these patients. Riedel's procedure can help eradicate frontal sinus disease and symptoms when drainage and obliteration have failed and where there is persistent disease involving the anterior wall of the frontal sinus or the sinus itself. Whilst cranialization has a role in the removal of the mucosa or contents of the frontal sinus in craniofacial resection, the morbidity associated with it make Riedel's procedure preferable for dealing with chronic infection or locally invasive disease. Riedel's procedure also maintains a barrier in the form of the posterior wall of the frontal sinus and the intracranial contents. Post-operative disfigurement, the main criticism of this procedure, can be reduced to some extent by chamfering the margins of the frontal sinus along with the supraorbital rims and reconstructing the anterior wall at a later date if necessary. The authors are aware that any report about frontal sinus surgery should be judged after several years follow-up, and whilst not all these cases have been asymptomatic for a decade, several have been reviewed for many years.

show abstract

Experimental surgery of the frontal sinus The role of the ostium and nasofrontal duct in postoperative healing

Cited by 54 publications

References 10 publications

Treatment of Nasal Polypi, With Comments on Frontal Sinus Surgery

Treatment of Nasal Polypi, With Comments on Frontal Sinus Surgery

100 Years of Frontal Sinus Surgery

The place of Riedel’s procedure in contemporary sinus surgery

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