scholarly journals Frontal Sinus Fractures: A Conservative Shift

2013 ◽  
Vol 6 (3) ◽  
pp. 155-160 ◽  
Author(s):  
William M. Weathers ◽  
Erik M. Wolfswinkel ◽  
Daniel A. Hatef ◽  
Edward I. Lee ◽  
Rodger H. Brown ◽  
...  
Keyword(s):  
Surgical Management ◽  
Conservative Management ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
New Technologies ◽  
Management Strategies ◽  
Sinus Surgery ◽  
Seat Belts ◽  
Air Bags ◽  
Traditional Approaches

This article reflects on the changing management of frontal sinus fractures. Severity of these injuries has decreased tremendously since the universal adoption of seat belts and air bags. Recently, there has been a shift from aggressive surgical management to more conservative management strategies, some forgoing surgery all together. New technologies, such as bioabsorbable plates and endoscopic sinus surgery, are leading the way in improved surgical management strategies and offer promising alternatives to the more traditional approaches.

scholarly journals Development and validation of a 3D-printed model of the ostiomeatal complex and frontal sinus for endoscopic sinus surgery training

2017 ◽  
Vol 7 (8) ◽  
pp. 837-841 ◽  
Author(s):  
Abdulaziz S. Alrasheed ◽  
Lily H.P. Nguyen ◽  
Luc Mongeau ◽  
W. Robert J. Funnell ◽  
Marc A. Tewfik
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Surgery Training ◽  
Ostiomeatal Complex ◽  
3D Printed ◽  
Development And Validation

Surgical Management of Bronchobiliary Fistula After Thoracoabdominal Trauma

2020 ◽  
pp. 000313482094526
Author(s):  
Julia M. Coughlin ◽  
Steven Bonomo ◽  
Edie Y. Chan ◽  
Jafar Hasan ◽  
Mark A. Grevious ◽  
...  
Keyword(s):  
Surgical Management ◽  
Conservative Management ◽  
Wedge Resection ◽  
Management Strategies ◽  
Lower Lobe ◽  
Disease Process ◽  
High Morbidity ◽  
Posterolateral Thoracotomy ◽  
Biliary Stenting ◽  
Bronchobiliary Fistula

Bronchobiliary fistulas are exceedingly rare pathological connections between the biliary and the bronchial systems, which result from hepatobiliary neoplasms, abscesses, or thoracoabdominal trauma. Prompt recognition, diagnosis, and intervention is essential in order to prevent the high morbidity and mortality associated with this disease process. Multiple management strategies have been described in the literature; however, the optimal course has not been well defined. We present a case of a 31-year-old male who developed a bronchobiliary fistula 1 month after thoracoabdominal trauma. After conservative management with biliary stenting failed, he successfully underwent latissimus sparing right posterolateral thoracotomy, complete fistulectomy, right lower lobe wedge resection, and diaphragmatic reconstruction with subsequent resolution of his symptoms.

Endoscopic Surgery for Frontal and Ethmoid Sinus Mucoceles

1994 ◽  
Vol 8 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Thomas L. Kennedy
Keyword(s):  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Ethmoid Sinus ◽  
Endoscopic Approach ◽  
Sinus Surgery ◽  
Difficult Cases

Seven patients with frontal and ethmoid mucoceles treated by endoscopic sinus surgery were reviewed. Five cases were successfully managed, with two requiring a trephine procedure in combination with the intranasal endoscopic approach. Follow-up ranged from 3 to 33 months with a mean of 17.8 months. The use of endoscopic instruments through a trephine incision is recommended in difficult cases to assure patency of the frontal sinus recess. When a large frontal sinus mucocele extends into the anterior ethmoid, the endoscopic approach becomes ideal. Sinus mucoceles can be handled safely and successfully by endoscopic surgery and may eliminate the need for more traditional external procedures.

scholarly journals In-office Balloon Dilation and Drainage of Frontal Sinus Mucocele

2013 ◽  
Vol 4 (1) ◽  
pp. ar.2013.4.0041 ◽  
Author(s):  
Jean Anderson Eloy ◽  
Pratik A. Shukla ◽  
Osamah J. Choudhry ◽  
Jean Daniel Eloy ◽  
Paul D. Langer
Keyword(s):  
Patient Satisfaction ◽  
Operating Room ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Balloon Dilation ◽  
Sinus Surgery ◽  
Surgical Drainage ◽  
Sinus Disease ◽  
The Past ◽  
Office Procedures

Treatment of frontal sinus disease represents one of the most challenging aspects of endoscopic sinus surgery. Frontal sinus mucocele drainage may be an exception to the rule because in many instances, the expansion of the mucocele widens the frontal sinus recess and renders surgical drainage technically undemanding. Recently, there has been an increased interest in in-office procedures in otolaryngology because of patient satisfaction and substantial savings of time and cost for both patients and physicians. Similarly, the past few years have witnessed an increased use of balloon dilation devices in sinus surgery. Previously, we have described the in-office use of this device in treating patients who failed prior conventional frontal sinusotomy in the operating room. In this report, we describe our step-by-step in-office experience using this tool for drainage of a large frontal sinus mucocele.

The Horizon Sign and Frontal Bar: Two Topographic Landmarks to Confirm Endoscopic Frontal Sinusotomy

2019 ◽  
Vol 160 (4) ◽  
pp. 740-743
Author(s):  
Evan S. Walgama ◽  
Andrew Thamboo ◽  
Navarat Tangbumrungtham ◽  
Noel Ayoub ◽  
Zara M. Patel ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Case Series ◽  
Acute Angle ◽  
Sinus Surgery ◽  
Consecutive Case ◽  
Landmark Identification ◽  
Frontal Sinuses ◽  
Anterior Posterior

Confirming a thorough dissection of the frontal sinus during endoscopic sinus surgery can be challenging, and some surgeons would benefit from reliable topographic landmark identification to ensure completion of this sinus dissection. We defined (1) the “horizon sign” as the curvilinear shadow of the posterior table cast superiorly upon the anterior table of the frontal sinus at the acute angle of their meeting point and (2) the “frontal bar” as a sagittal septation at the union of the anterior/posterior tables. A cadaveric study, followed by an intraoperative consecutive case series, was performed to evaluate these 2 landmarks as indicators of complete dissection. The horizon sign was extremely reliable, identified in 100% of cadaveric frontal sinuses and intraoperative frontal sinuses. The frontal bar was present in only 67% of frontal sinuses by computed tomography. In live patients, the sensitivity and specificity of the frontal bar were 62% and 95%, respectively.

Concha bullosa mucocele - endoscopic surgical solution

ORL ro ◽  
2016 ◽  
Vol 4 (1) ◽  
pp. 60-62
Author(s):  
Andreea Nicoleta Costache ◽  
C. Ioniţă ◽  
Alexandra Guligă ◽  
A. Panfiloiu ◽  
Tatiana  Decuseară ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Middle Meatus ◽  
Concha Bullosa ◽  
Appropriate Treatment

Headache is a borderline pathology, faced by physicians of various specialties, which has to be thoroughly investigated to establish the etiology and appropriate treatment. The authors present a case of concha bullosa mucocele managed by endoscopic sinus surgery. The mucocele was responsible for persistent nonsystemized headache and also for the chronic rhinosinusitis of the maxillary, ethmoidal and frontal sinus because of the blockage of the middle meatus. The drainage of the anterior sinuses and the mucocele of the concha bullosa were successfully managed by endoscopic sinus surgery.   

Endoscopic Sinus Surgery for Anterior Ethmoid and Frontal Sinus Region

2015 ◽  
Vol 143 (0) ◽  
pp. 112-116
Author(s):  
Kouta Wada ◽  
Chiaki Arai ◽  
Takashi Ishigaki ◽  
Hideo Edamatsu
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Sinus Surgery

Review and Analysis of Research Trends in Surgical Treatment of Pediatric Chronic Sinusitis

2020 ◽  
Vol 34 (3) ◽  
pp. 428-435
Author(s):  
Kunal R. Shetty ◽  
Helen H. Soh ◽  
Chase Kahn ◽  
Rita Wang ◽  
Anisha Shetty ◽  
...  
Keyword(s):  
Surgical Management ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Systemic Review ◽  
Balloon Sinuplasty ◽  
Number Of Publications ◽  
Over Time ◽  
Number Of Authors

Background Chronic sinusitis is a common otolaryngologic complaint with a significant impact on patients’ quality of life. There is current debate and differences in quality of evidence regarding the best surgical management approach to pediatric chronic sinusitis. Objective To investigate changes in publishing trends over time in surgical management of pediatric chronic sinusitis. Methods A systematic literature review was conducted in January 2019 using Embase, PubMed, and Web of Science, of all articles that included surgical treatments for pediatric chronic sinusitis. Publications were grouped into 3 time periods: pre-1998, 1999–2008, and 2009–2018. In addition, a subgroup of publications pertaining to endoscopic sinus surgery, balloon sinuplasty, and adenoidectomy were grouped into 2-year periods since 1988 to compare the number of publications on each topic and to examine overall trends. Results A total of 327 abstracts were included in the data collection and analysis. There was an overall significant increase in total number of publications ( P < .0001), total number of authors ( P = .001), and comparison studies ( P = .003) from pre-1989 to 2018. Relative number of prospective studies, systemic review, and case studies/expert opinions have not significantly increased over time when comparing decades ( P > .05). Among the surgery types, functional endoscopic sinus surgery has the most amount of publications regardless of year despite a statistically significant increase in publications pertaining to balloon sinuplasty in the pediatric literature from 1999–2008 to 2009–2018 ( P = .001). Conclusions Studies on pediatric chronic sinusitis have increased significantly during each of the last 2 decades with an increase in the concomitant number of authors and comparison studies. Although most publications are still Level C or D evidence, there has been a nonsignificant increase in Level A evidence in the past decade. Endoscopic sinus surgery still remains the most studied procedure despite the recent increase in publications on balloon sinuplasty.

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