Endoscopic and Microscopic Revision Frontal Sinus Surgery View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2008

AUTHORS

Ulrike Bockmühl , Wolfgang Draf

ABSTRACT

• There must be a reasonable correlation between a patient’s complaints and radiologic findings. • High-resolution computed tomography and magnetic resonance imaging are the most valid imaging modalities. • Revision surgery is most often necessary due to incomplete removal of obstructing agger nasi cells, superior attachment of the ethmoid bulla or uncinate process (incomplete anterior ethmoidectomy), lateralization of middle-turbinate remnants, neoosteogenesis of the frontal recess, and polypoid mucosa obscuring the recess. • Endonasal revision frontal sinus surgery requires detailed anatomical knowledge. • In the majority of patients revision can be managed successfully via the endonasal route by performing Draf ’s type I–III drainages. • In aspirin triad, patients with severe polyposis, Draf ’s type III drainage is indicated as the first revision procedure. • Contraindications for endonasal frontal sinus revision surgery are anterior–posterior dimension less than 0.5 cm, inadequate surgical training, and lack of proper instrumentation. • The external osteoplastic, mostly obliterative frontal sinus operation must be part of the armamentarium of the experienced sinus surgeon for the resolution of exceptionally difficult frontal sinus problems. More... »

PAGES

117-126

References to SciGraph publications

  • 1990-03. Functional endoscopic sinus surgery in EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
  • 2000. Endonasal and External Micro-Endoscopic Surgery of the Frontal Sinus in MICRO-ENDOSCOPIC SURGERY OF THE PARANASAL SINUSES AND THE SKULL BASE
  • 2005. Endonasal Frontal Sinus Drainage Type I–III According to Draf in THE FRONTAL SINUS
  • 2005. Osteoplastic Frontal Sinusotomy and Reconstruction of Frontal Defects in THE FRONTAL SINUS
  • 2005. Endoscopic Modified Lothrop Procedure in THE FRONTAL SINUS
  • Book

    TITLE

    Revision Sinus Surgery

    ISBN

    978-3-540-78930-7
    978-3-540-78931-4

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/978-3-540-78931-4_14

    DOI

    http://dx.doi.org/10.1007/978-3-540-78931-4_14

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1029987681


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