Use of a Foley catheter for short-term drainage in frontal sinus surgery

AbstractFrontal sinus surgery for chronic disease presents a variety of problems, in particular that of drainage. No matter how successful the surgical technique is in clearing disease from the sinus, it is still important that the fronto-nasal duct is kept patent unless the procedure is an obliterative one. Usually a tube is inserted for drainage and has to be kept in place for several weeks or months. This paper presents a study of 16 patients, suffering from frontal sinus disease, in whom a short-term drainage technique using a Foley catheter was employed between 1979 and 1988 at Lagos University Teaching Hospital, Nigeria. This type of drainage allows effective anchorage and irrigation with a decongestant. It has been found to give satisfactory results after 14 days in place and has had no unusual complications. It is therefore recommended for use in such cases.

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Frontal Sinus Surgery: The State of the Art

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1257 ◽

2016 ◽

Vol 7 (1) ◽

pp. 5-12 ◽

Cited By ~ 1

Author(s):

Michael J Marino ◽

Edward D McCoul

Keyword(s):

Outcomes Research ◽

Frontal Sinus ◽

State Of The Art ◽

The State ◽

Sinus Surgery ◽

Indications For Surgery ◽

Ongoing Research ◽

Sinus Disease ◽

Frontal Sinus Surgery ◽

Essential Components

ABSTRACT Aim: Review and describe the essential components of modern frontal sinus surgery. Background Frontal sinus surgery has evolved considerably over the last century, and advances in imaging, optics, and instrumentation have contributed to contemporary treatment paradigms. Outcomes assessment has had an important role in identifying indications for surgery and future areas of research. Review results Numerous advancements are part of modern frontal sinus surgery and the treatment of frontal sinusitis. Anatomic studies have revealed variations that are associated with disease and pose challenges for surgery. Open approaches remain relevant in situations of difficult disease or as part of combined approaches. Endoscopic surgery, however, is central to contemporary surgical management of frontal sinus disease. Evolving instrumentation and the development of new implantable devices are increasingly relevant in the endoscopic era. Outcomes research has refined indications for surgery and identifies areas for ongoing research. Conclusion State-of-the-art frontal sinus surgery is the product of significant evolution and advancement. Modern surgery is reflective of improved optics and new instrumentation, and the central role of endoscopic approaches in treating frontal sinus disease. Outcomes research has been essential for developing an evidenced-based approach to frontal sinus surgery. Clinical significance A review of the essential components of state-of-the-art frontal sinus surgery for the practicing otolaryngologist. How to cite this article Marino MJ, McCoul ED. Frontal Sinus Surgery: The State of the Art. Int J Head Neck Surg 2016;7(1): 5-12.

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Utility of Intraoperative Flexible Endoscopy in Frontal Sinus Surgery

Allergy & Rhinology ◽

10.2500/ar.2017.8.0205 ◽

2017 ◽

Vol 8 (2) ◽

pp. ar.2017.8.0205 ◽

Cited By ~ 2

Author(s):

Eric T. Carniol ◽

Alejandro Vázquez ◽

Tapan D. Patel ◽

James K. Liu ◽

Jean Anderson Eloy

Keyword(s):

Surgical Management ◽

Frontal Sinus ◽

Surgical Techniques ◽

Disease Process ◽

Flexible Endoscopy ◽

Sinus Surgery ◽

Sinus Disease ◽

Frontal Sinus Surgery ◽

Far Lateral ◽

Draf Iii

Background Surgical management of the frontal sinus can be challenging. Extensive frontal sinus pneumatization may form a far lateral or supraorbital recess that can be difficult to reach by conventional endoscopic surgical techniques, requiring extended approaches such as the Draf III (or endoscopic modified Lothrop) procedure. Rigid endoscopes may not allow visualization of these lateral limits to ensure full evacuation of the disease process. Methods Here we describe the utility of intraoperative flexible endoscopy in two patients with far lateral frontal sinus disease. Results In both cases, flexible endoscopy allowed confirmation of complete evacuation of pathologic material, thereby obviating more extensive surgical dissection. Conclusion In cases where visualization of the far lateral frontal sinus is inadequate with rigid endoscopes, flexible endoscopy can be used to determine the need for more extensive dissection.

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Use of a Foley Catheter Balloon as a Tool During Endoscopic Frontal Sinus Surgery in a Resource-Poor Environment

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489414550242 ◽

2014 ◽

Vol 124 (3) ◽

pp. 194-197

Author(s):

Mohamed H. Askar ◽

Hossam S. El-Sherif ◽

Mohamed O. Tomoum ◽

Brent A. Senior

Keyword(s):

Frontal Sinus ◽

Foley Catheter ◽

Sinus Surgery ◽

Frontal Sinus Surgery ◽

Resource Poor

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Riedel’s Procedure: A Modification to Obliterate Step Defect

Case Reports in Otolaryngology ◽

10.1155/2019/9437641 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Abdul Nassimizadeh ◽

Mohammad Nassimizadeh ◽

Shahzada Ahmed

Keyword(s):

Soft Tissue ◽

Endoscopic Surgery ◽

Frontal Sinus ◽

Complete Removal ◽

Sinus Surgery ◽

Sinus Disease ◽

Frontal Sinus Surgery ◽

Tissue Flap ◽

Soft Tissue Flap ◽

Step Defect

Sinus surgery was first introduced by the ancient Egyptians. In 1750 was the first modern description of frontal sinus surgery. In 1898, Riedel advocated complete removal of the anterior table and floor of the frontal sinus while simultaneously stripping the mucosa. The major postoperative issue involved gross forehead deformity. We aim to provide a modification to reduce the postoperative “step” defect. Riedel’s procedure is an effective way of managing frontal sinus disease when endoscopic surgery has repetitively failed. Use of a pedicled pericranial/galeal soft tissue flap can effectively reduce cosmetic deformity postoperatively.

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First Olfactory Fiber as an Anatomical Landmark for Frontal Sinus Surgery

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0036-1579951 ◽

2016 ◽

Vol 77 (S 01) ◽

Author(s):

Smita Upadhyay ◽

Lamia Buohliqah ◽

Gerival Junior ◽

Bradley Otto ◽

Daniel Prevedello ◽

...

Keyword(s):

Frontal Sinus ◽

Anatomical Landmark ◽

Sinus Surgery ◽

Frontal Sinus Surgery

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Our Endoscopic Frontal Sinus Surgery Technique: Long Term Results

Türk Rinoloji Dergisi ◽

10.24091/trhin.2009-16540 ◽

2013 ◽

Vol 2 (2) ◽

pp. 59-64

Author(s):

Hasan Murat TANYERİ ◽

Şenol POLAT

Keyword(s):

Frontal Sinus ◽

Sinus Surgery ◽

Long Term Results ◽

Frontal Sinus Surgery ◽

Surgery Technique

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Extended endoscopic frontal nasal sinus surgery in management of chronic and recurrent frontal sinus diseases

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-021-00104-x ◽

2021 ◽

Vol 37 (1) ◽

Author(s):

Ahmed Sobhi Abdelaal ◽

Mohamed Kamel Al Awady ◽

Tawfik Abdelaty Elkholy

Keyword(s):

Frontal Sinus ◽

Anatomical Variation ◽

Sinus Surgery ◽

Frontal Sinusitis ◽

Office Visits ◽

Nasal Sinus ◽

Frontal Sinus Surgery ◽

Operative Care ◽

Intimate Relation

Abstract Background The anatomical variation of the frontal sinus and its intimate relation to the skull base and orbit makes its surgery demanding. The extended endoscopic frontal sinus surgery allows wide better drainage and preventing the recurrence of the disease. Fourteen patients underwent EEFSS from May 2017 to May 2019. These patients are nine patients presented by chronic recurrent frontal sinusitis, three patients presented by chronic recurrent fronto ethmoidal mucocele and two patients with chronic recurrent external frontal fistula. Draff III done for ten patients of them and Draff IIB done for four patients of them. This study is designed for evaluating the efficacy of the extended endoscopic frontal sinus surgery (E E F S S) in management of chronic and recurrent frontal sinus diseases. Results The neo opening of the restored frontal sinus was remained opened with Draff III with high success rate; two patients from four patients with Draff IIb were with closed nasofrontal duct. The main follow-up was 12 months; the patients were followed up post-operatively for many office visits without any other manifestations. Conclusion The chronic recurrent frontal sinus diseases can be treated successfully with extended endoscopic frontal sinus surgery (E E F S S). The extended endoscopic frontal sinus surgery (Draff III) provides good results with low morbidity and less post-operative care.

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