Ontology type: schema:Chapter
2008
AUTHORSUlrike 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... »
PAGES117-126
Revision Sinus Surgery
ISBN
978-3-540-78930-7
978-3-540-78931-4
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