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

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.

1992 ◽  
Vol 6 (4) ◽  
pp. 139-143 ◽  
Author(s):  
Richard F. Busch

Endoscopic sinus surgery has improved our understanding of normal sinus physiology and enabled us to provide better surgical treatment of sinus disease. A method for removal of frontal sinus osteomas was sought that would be less invasive and more physiologic than the conventional osteoplastic flap procedure. Endoscopic sinus surgery has been combined with conventional frontal sinus trephination to achieve total osteoma removal while maintaining normal sinus mucociliary flow. Two successive patients have been treated in this manner with gratifying results.


2013 ◽  
Vol 127 (7) ◽  
pp. 666-669 ◽  
Author(s):  
M-C Jaberoo ◽  
M-A Pulido ◽  
H A Saleh

AbstractBackground:The management of frontal sinus disease in cystic fibrosis patients represents a challenge for many surgeons. Procedures can vary from the minimally invasive to those involving extensive open surgery.Objective:This study describes the outcomes of the endoscopic modified Lothrop procedure, in terms of safety and morbidity, for cystic fibrosis patients with frontal sinus disease who did not improve following traditional functional endoscopic sinus surgery.Method and results:The study setting was a tertiary referral unit in a London teaching hospital, the largest national base for adult cystic fibrosis patients. Two patients diagnosed in childhood with cystic fibrosis presented with histories of recurrent, severe frontal sinusitis; both had previously undergone multiple endoscopic sinus surgical procedures. The modified Lothrop procedure was performed on both patients. The outcome measures were symptom resolution and post-operative complications.Conclusion:The endoscopic modified Lothrop procedure was beneficial in the cystic fibrosis patients with frontal sinus disease who failed to respond to standard functional endoscopic sinus surgery procedures.


1993 ◽  
Vol 7 (5) ◽  
pp. 213-216 ◽  
Author(s):  
Donald C. Lanza ◽  
Deborah Farb Rosin ◽  
David W. Kennedy

A variety of surgical approaches exists for the management of nasal septal spurs in patients who undergo endoscopic sinus surgery (ESS). Treatment of septal spurs in the past has been frequently addressed by septoplasty which can result in increased bleeding and length of surgical procedure as well as mandate postoperative nasal packing. Individually each of these problems can jeopardize the success of endoscopic sinus surgery. An endoscopic approach, which targets the septal spur alone, can minimize perioperative morbidity. The purpose of this paper is to demonstrate the effectiveness of endoscopic septal spur resection (ESSR) for the management of significant septal spurs in 8 patients who underwent concurrent ESSR during ESS for chronic sinusitis. Surgical technique and postoperative results are discussed and suggest that ESSR is a valuable alternative to more traditional techniques.


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

1995 ◽  
Vol 112 (5) ◽  
pp. P181-P181
Author(s):  
Jerry W. Sonkens ◽  
Ronald Miller

Educational objectives: To recognize potentially complicated sinus pathology and learn what to do when complications occur and to choose FESS options in treating sinus disease that specifically respond to CT findings and clinical history.


1995 ◽  
Vol 109 (9) ◽  
pp. 868-870 ◽  
Author(s):  
N. J. P. Beasley ◽  
N. S. Jones ◽  
R. N. Downes

AbstractMaxillary sinus disease can lead to dehiscence of the orbital floor. Using endoscopic sinus surgery it is possible to simultaneously reconstruct the orbital floor and to assess and treat underlying sinus disease.


1996 ◽  
Vol 105 (9) ◽  
pp. 694-700 ◽  
Author(s):  
Joseph B. Jacobs ◽  
Barry A. Shpizner ◽  
Eugenie Brunner ◽  
Richard A. Lebowitz ◽  
Roy A. Holliday

Agger nasi cells contribute to nasofrontal duct (NFD) obstruction and chronic frontal sinus disease. To investigate this relationship, we conducted a review of the surgical outcome and computed tomographic imaging in 26 patients with chronic frontal sinusitis. Coronal and sagittal images were used to delineate the anatomic variability and mucosal disease in the NFD and frontal sinus region. Data from coronal and sagittal images were compared. The results were also correlated with the outcome of frontal sinus surgery in patients with a clinical history of chronic frontal sinus disease. Our data suggest that agger nasi cell pneumatization with narrowing of the frontal sinus outflow tract is a significant cause of persistent frontoethmoid pain and chronic frontal sinusitis. Sagittal reformatted images are more capable than coronal images of demonstrating agger nasi cell encroachment on the NFD, as well as NFD mucosal disease. Endoscopic frontal sinusotomy is an effective treatment for chronic frontal sinus disease.


1995 ◽  
Vol 112 (5) ◽  
pp. P86-P86
Author(s):  
Paul H. Toffel

Educational objectives: To analyze nasal and sinus pathology accurately and to have a secure and successful modality for treatment of significant refractory and sinus disease.


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