Transpalpebral approach for frontal sinus diseases: A camouflaged technique

Michel, J.; Radulesco, Thomas; Graziani, J.; Penicaud, Martin; Dessi, P.

doi:10.1111/coa.13090

Cited by 3 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical steps were described by Michel et al. 9 We used a 30° endoscope and a 3-mm diamond drill. The incision was similar to that for upper blepharoplasty incision.…”

Section: Methodsmentioning

confidence: 99%

“…Surgery was systematically performed with navigation (computer-assisted surgery, CAS; Fusion, Medtronic V R , Jacksonville, Florida, USA). Surgical steps were described by Michel et al 9 We used a 30 endoscope and a 3-mm diamond drill. The incision was similar to that for upper blepharoplasty incision.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…8 A transpalpebral approach permitting a mini-invasive and hidden approach to the FS has recently been reported and has shown its relevance in the 2 situations mentioned earlier. 9 Indeed, it has been described to perform frontal septectomy providing access to the lateral extent of the contralateral FS, without affecting its recess, unlike other combined techniques described in the literature. 10,11 Although this surgical procedure has been fully described, its feasibility and results have not been studied.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transpalpebral Frontal Sinus Septectomy: Feasibility and Results

Graziani

Penicaud

Hazbri

et al. 2020

Am J Rhinol�Allergy

Self Cite

View full text Add to dashboard Cite

Background Transpalpebral frontal septectomy (TFS) can be performed for unilateral frontal sinusitis drainage (into the contralateral healthy frontal sinus) or to provide access to the lateral extent of the contralateral frontal sinus. This procedure has demonstrated its usefulness in several problematic situations for the endoscopic surgeon. Objective The main objective of our study was to evaluate the feasibility of TFS. Secondary objectives were to define outcomes, early and late complications, contraindications, and failure rates of the TFS. Methods We reviewed patient demographics including age and gender, indication for frontal septectomy, prior surgeries, failure rates and necessity of revision surgery, early and late complications, and the side of the approach (ipsi- or contralateral to the frontal sinus pathology). Twenty patients who had undergone TFS were included. Patients were classified into 2 groups according to the surgical indication: group 1—TFS performed for unilateral frontal sinusitis to drain a frontal sinus in the contralateral frontal sinus; and group 2—TFS performed to provide access to the lateral extent of the contralateral frontal sinus. Scarring was assessed using the SCAR-Q questionnaire. Results TFS was performed on all patients in Groups 1 and 2 (success rate = 100%). No patients had recurrence of the pathology 6 months after surgery (0%). No patient needed revision surgery (0%). One complication (frontal hypoesthesia) was reported 6 months after surgery. Mean SCAR-Q score was 99.3 ± 2.5 (min = 91/100, max = 100/100). Conclusion TFS was feasible for all patients in this study. This procedure permits drainage of the frontal sinus and gives access to the lateral extent of the contralateral frontal sinus, without visible scarring, and with few lasting complications. Authorization to conduct this study was obtained from the Ethical Committee of our institution (APHM, n°2019_65).

show abstract

“…Surgical steps were described by Michel et al. 9 We used a 30° endoscope and a 3-mm diamond drill. The incision was similar to that for upper blepharoplasty incision.…”

Section: Methodsmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transpalpebral Frontal Sinus Septectomy: Feasibility and Results

Graziani

Penicaud

Hazbri

et al. 2020

Am J Rhinol�Allergy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Bacterial acute sinusitis (or acute exacerbations of chronic rhinosinusitis) is usually a clinical diagnosis made in the presence of acute sinusal clinical impairment and pus at the sinus meatus. The purulent nature of sinusitis influences the therapeutic patient management and can require antibiotic therapy or even surgery . Various pathologies (infectious, inflammatory or tumoural) can give rise to images showing sinus fill.…”

Section: Introductionmentioning

confidence: 99%

Role of diffusion‐weighted imaging in the discrimination of purulent intrasinusal content: A retrospective study

Radulesco

Scemama

Mancini

et al. 2019

Clinical Otolaryngology

Self Cite

View full text Add to dashboard Cite

Bacterial acute sinusitis (or acute exacerbations of chronic rhinosinusitis) is usually a clinical diagnosis made in the presence of acute sinusal clinical impairment and pus at the sinus meatus. The purulent nature of sinusitis influences the therapeutic patient management and can require antibiotic therapy or even surgery. 1-3 Various pathologies (infectious, inflammatory or tumoural) can give rise to images showing sinus fill. CT is the first-line examination and can locate opacity and reveal signs of invasiveness such as bone lysis. AbstractObjectives: The objective of this study was to analyse MRI with morphological (T1, T2) and diffusion sequences (DWI, b1000) in patients presenting non-aggressive patterns of sinus opacity and operated on by functional endoscopic sinus surgery (FESS). Design: A retrospective study.Setting: Diffusion imaging in paranasal sinus pathology remains little known. To date, no imaging system is capable of determining the purulent content of a non-enhanced sinus filling. Participants:We included consecutive patients having undergone FESS in whom MRI of the paranasal sinuses was performed. Subjects were allocated to Case (pus) or Control (no pus) groups depending on sinus content found intraoperatively. FESS was performed for bacterial acute rhinosinusitis, acute exacerbations of chronic rhinosinusitis, non-purulent sinusitis, naso-sinusal polyposis, antrochoanal polyp, isolated polyp, angiomatous polyp and eosinophilic fungal sinusitis. Tumours, mucoceles and fungus balls were excluded. Main outcome measures:We analysed T1, T2, b1000 and MRI sequences and ADC map. Results: On univariate analysis, intermediate signal in T2 and high signal in b1000were associated with Cases (P < 0.001) as were low ADC values (P < 0.001). The difference in mean ADC values between Cases and Controls was statistically significant (respectively, 0.518 vs 2.041 × 10 −3 mm 2 /sec, P < 0.01). On multivariate analysis, MRI with ADC < 0.725 × 10 −3 mm 2 /sec and b1000_SI > brain was significantly associated with the case group. MRI with b1000_SI < brain and ADC > 1.450 × 10 −3 mm 2 /sec was significantly associated with the control group. Conclusions: Diffusion MRI offers extremely promising results regarding content characterisation of infectious sinus diseases. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Radulesco T, Scemama U, Mancini J, et al. Role of diffusion-weighted imaging in the discrimination of purulent intrasinusal content: A retrospective study. Clin Otolaryngol. 2019;44:762-769. https ://doi.

show abstract