LXXV. Radical Treatment of the Ethmoid: INTRANASAL

Fenton, Ralph A.

doi:10.1177/000348942903800404

Cited by 9 publications

(4 citation statements)

References 2 publications

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“…One group claims its preservation is necessary to avoid altered nasal physiology, as well as its importance as a surgical landmark 19,46 . Advocates of, at least, partial resection suggest improved surgical and postoperative access, as well as the provision of additional ventilation 102, 149,151 . However, the present focus concerns a potential benefit in decreasing synechia formation 193 .…”

Section: Discussionmentioning

confidence: 98%

“…This general technique had already been popularized in Europe toward the end of the 19th century 25 . Skillern, 150 Yankauer, 138 and Fenton, 151 prominent rhinologists during that era, supported Mosher's technique of radical resection of the ethmoid complex and subtotal middle turbinectomy. The nasofrontal duct, indirectly unroofed by curetting the anterior ethmoid air cells, was presumed to provide frontal sinus ventilation.…”

Section: Development Of Ethmoidectomymentioning

confidence: 99%

“…In practice, however, it has proved to be one of the easiest operations with which to kill a patient.” Mosher was a highly respected rhinologist, and these words echoed around the otolaryngology community. Fenton 151 added that it was dangerous to perform this procedure through the narrow nasal passage.…”

Section: Development Of Ethmoidectomymentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 98%

Section: Development Of Ethmoidectomymentioning

confidence: 99%

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100 Years of Frontal Sinus Surgery

1997

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“…These points have again and again been made by such eminent students of the accessory sinuses, their anatomy and surgery as Fenton, 6 Hajek,' Skillern,' Mosher," Sluder,"' Tilley/l Lynch/ 2 SewaIl'3 and many others. Having made this study and diagnosis, the careful surgeon will then determine in his own mind that type of treatment or operation, or succession of operations, which his own experience or the experience of others in whom he has faith leads him to believe will do his patient the utmost good, but he wiII not undertake radical surgery without a thorough knowledge of the anatomy and the applied anatomy of the parts under consideration and unless he has also had a careful and thorough training in the procedure and technic required for such surgery.…”

mentioning

confidence: 84%