Operative trephination for non-acute frontal sinus disease

Sillers, Michael J.; Lindman, Jonathan P.

doi:10.1053/j.otot.2003.12.004

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…8,9 In addition to assisting in the definitive identification of the frontoethmoidal passage, frontal sinus trephination and irrigation enable the expulsion of secretions without the need for handling and potentially traumatizing the frontal sinus ostium.…”

Section: Discussionmentioning

confidence: 99%

“…7 With the advent of safer and more accurate instruments, this procedure is now commonly used in the treatment of chronic frontal sinusitis as well. 8,9 Trephination of the frontal sinus and irrigation through the frontoethmoidal recess from above can be a useful technique for conservative evacuation of the frontal sinus, which may minimize the need for traumatic manipulation in the frontal recess. In addition, trephination and irrigation of the frontal sinus is a very useful technique to accurately localize the ostium endonasally, which then allows the enlargement of the outflow tract to be performed more safely.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the safety of frontal sinus trephination

2010

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Although the majority of patients have frontal sinuses deep enough to accommodate standard trephine instruments, surgeons should recognize that up to 15% of nonhypoplastic frontal sinuses may not be sufficiently deep at a given point to allow safe trephination without risking unintentional transgression of the posterior table. This study suggests that trephination routinely carried out at a given predetermined distance from the midline may be an unsafe practice. Careful evaluation of the imaging is essential in every case to avoid inadvertent injury and to help select the safest distance from the midline for frontal sinus trephination.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluating the safety of frontal sinus trephination

2010

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“…Its use was reinforced by the discovery that most frontal sinus diseases are a consequence of alterations in the anterior ethmoid sinus 7 . Moreover, the flow of saline solution through the fronto-ethmoid process, made possible through the trephination can be extremely useful for sinus cleaning, accurate location of the ostium and collection of material for culture 8 .…”

Section: Introductionmentioning

confidence: 99%

Is there a reason for performing frontal sinus trephination at 1 cm from midline? A tomographic study.

Piltcher

Antunes²,

Monteiro³

et al. 2006

Brazilian Journal of Otorhinolaryngology

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Mini-endoscopy of the frontal sinus to guide endonasal frontal sinus surgery

Kadah

Schick

2013

Eur Arch Otorhinolaryngol

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Endoscopic frontal sinus surgery requires special attention to the numerous anatomical variations. Additionally, in situations of revision surgery, endonasal frontal sinus identification may be challenging. Numerous strategies have been described to access the frontal sinus in endonasal endoscopic frontal sinus surgery including an additional external approach. A pilot study is presented using a newly designed modular mini-endoscope (1.1 mm, 10.000 pixel, 2 working channels and 120° lens) to assist the frontal sinus surgery through a transcutaneous puncture of the frontal sinus. We used this mini-endoscope for primary frontal sinus surgery on 3 patients and for revision frontal sinus surgery on 4 patients. In all patients, the mini-endoscope could be placed in the frontal sinus without side effects. The visible illumination at the frontal sinus floor, caused by the mini-endoscope being in the frontal sinus, guided the surgeon endonasally directly to the frontal sinus floor. Frontal sinus drainage was achieved by the described guidance on all patients. In conclusion, mini-endoscopy of the frontal sinus might be an interesting option in endoscopic frontal sinus surgery to guide the surgeon by illumination in complex anatomical situations to the frontal sinus. This technique will contribute to further improvement in endonasal endoscopic frontal sinus surgery.

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Operative trephination for non-acute frontal sinus disease

Cited by 6 publications

References 19 publications

Evaluating the safety of frontal sinus trephination

Evaluating the safety of frontal sinus trephination

Is there a reason for performing frontal sinus trephination at 1 cm from midline? A tomographic study.

Mini-endoscopy of the frontal sinus to guide endonasal frontal sinus surgery

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