scholarly journals Frontal Mucocele With Proptosis: DrafIIa Approach

2021 ◽  
Vol 5 (3) ◽  
pp. 366
Author(s):  
Siti Nazira Abdullah ◽  
Mohamad Azizul Fitri Khalid ◽  
Ramiza Ramza Ramli
Keyword(s):  
Frontal Sinus ◽  
Mass Effect ◽  
Health Sciences ◽  
Facial Trauma ◽  
Nasal Allergy ◽  
Endonasal Surgery ◽  
Gradual Onset ◽  
History Of ◽  
Sinus Drainage ◽  
Sinus Obliteration

Paranasal sinus mucocele commonly involved fronto-ethmoidal region rather than other due to its narrow anatomical drainage outflow, which put them at a higher tendency to get obstructed. Usually, it arises from an identifiable cause such as a history of endonasal surgery, facial trauma or background of nasal allergy or rhinosinusitis. Rarely patient presented with primary frontal mucocele, and its presentation depending on the mucocele location and extension with surrounding mass effect. Treatment is based on restoration of frontal sinus drainage and ventilation or towards a more radical and definitive approach which is sinus obliteration. Risk and benefits between these two need to be taken into consideration. We present a case of primary frontal mucocele with gradual onset of unilateral eye proptosis which first presented solely with ophthalmic symptoms.International Journal of Human and Health Sciences Vol. 05 No. 03 July’21 Page: 366-371

scholarly journals Role of Osteoplastic Frontal Sinus Obliteration in the Era of Endoscopic Sinus Surgery

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Joshua B. Silverman ◽  
Stacey T. Gray ◽  
Nicolas Y. Busaba
Keyword(s):  
Frontal Sinus ◽  
Tertiary Care ◽  
Sinus Surgery ◽  
Salvage Procedure ◽  
Frontal Sinusitis ◽  
First Line ◽  
Total Study Population ◽  
Sinus Disease ◽  
History Of ◽  
Sinus Obliteration

Objective. Determining the indications for osteoplastic frontal sinus obliteration (OFSO) for the treatment of inflammatory frontal sinus disease.Study Design. Retrospective case series from a single tertiary care facility.Methods. Thirty-four patients who underwent OFSO for chronic frontal sinusitis () and frontal sinus mucocele () comprised our study group. Data reviewed included demographics, history of prior frontal sinus operation(s), imaging, diagnosis, and operative complications.Results. The age range was 19 to 76 years. Seventy percent of patients with chronic frontal sinusitis underwent OFSO as a salvage surgery after previous frontal sinus surgery failures, while 30% underwent OFSO as a primary surgery. For those in whom OFSO was a salvage procedure, the failed surgeries were endoscopic approaches to the frontal sinus (69%), Lynch procedure (12%), and OFSO outside this study period (19%). For patients with frontal sinus mucocele, 72% had OFSO as a first-line surgery. Within the total study population, 15% of patients presented for OFSO with history of prior obliteration, with a range of 3 to 30 years between representations.Conclusions. Osteoplastic frontal sinus obliteration remains a key surgical treatment for chronic inflammatory frontal sinus disease both as a salvage procedure and first-line surgical therapy.

Frontoethmoidal osteoma - comments on a clinical case

ORL ro ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 12-14
Author(s):  
Andreea Nicoleta Costache ◽  
I. Bulescu ◽  
Alexandra Guligă ◽  
A. Panfiloiu ◽  
Mihai Tușaliu ◽  
...  
Keyword(s):  
Growth Rate ◽  
Surgical Approach ◽  
Frontal Sinus ◽  
Clinical Case ◽  
Benign Tumor ◽  
Slow Growth ◽  
Computer Tomographic ◽  
Slow Growth Rate ◽  
History Of ◽  
Sinus Drainage

The paranasal sinus osteoma is a benign tumor characterized by a slow growth rate. Initially, the symptoms are uncharacteristic in most of the cases, afterwards they can cause headaches, nasal obstruction, epiphora etc. The authors present the case of a 45-year-old patient from IFACF - ENT “Prof. Dr. D. Hociota” with a history of frontal headache and retrobulbar pain, which started about 6 months ago. The endoscopic and computer tomographic exam mark the presence of a left frontoethmoidal tumor with bone consistency. The surgical approach was combined, with the complete macroscopic removal of the tumor and ensuring the physiological frontal sinus drainage.

scholarly journals Long terms results of Draf type III (modified endoscopic Lothrop) frontal sinus drainage procedure in 122 patients: a single centre experience

2011 ◽  
Vol 49 (2) ◽  
pp. 195-201
Author(s):  
C. Georgalas ◽  
F. Hansen ◽  
W.J.M. Videler ◽  
W.J. Fokkens
Keyword(s):  
Revision Surgery ◽  
Frontal Sinus ◽  
Symptom Burden ◽  
Drainage Procedure ◽  
Type Iii ◽  
Sinus Drainage ◽  
Sinus Obliteration ◽  
Revision Operations ◽  
Draf Iii

Objectives: To assess the effectiveness and factors associated with restenosis after Draf type III (Endoscopic Modified Lothrop) frontal sinus drainage procedure. Design: Retrospective analysis of prospectively collected data. Patients: A hundred and twenty two consecutive patients undergoing Draf III procedure for recalcitrant chronic frontal rhinosinusitis (CRS) (71%), frontal sinus mucocoele (15%), benign frontal sinus tumours (9%) and cystic fibrosis with severe CRS (5%) were followed up for an average of 33 months. Outcome measures: Symptom burden (Visual Analogue Scale and Rhinosinusitis Outcome Measure), patency of neo-ostium and revision surgery. Results: At the end of follow up, ninety percent of patients had a patent neo-ostium, while 88% were either clinically better or completely asymptomatic. Thirty-nine patients required endoscopic revision surgery and 9 eventually underwent frontal sinus obliteration. Sixty percent of revision operations were performed during the first two years. RSOM showed a significant improvement in both general and nasal symptoms while on a VAS, headache improved significantly. The only factor weakly associated with re-stenosis was the presence of allergy. There were no major complications during any of the procedures. Conclusion: Draf III Procedure is safe and effective for patients who have failed conventional frontal sinus procedures and a valid alternative to frontal sinus obliteration. Although the revision rate may appear to be quite significant, it can often be performed as an outpatient procedure and needs to be balanced against the reduced morbidity and the ease of follow-up.

scholarly journals Endoscopic approach to the frontal sinus with modified Lothrop technique. Outcomes in a large Argentinean center

2019 ◽  
Vol 11 (2) ◽  
pp. 140-143
Author(s):  
Carlos S Ruggeri ◽  
Sebastian Aragon ◽  
Ana Laura Cajelli ◽  
Lourdes Principe ◽  
Agustin Martinez Font ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Frontal Sinus ◽  
Malignant Tumors ◽  
Fungal Sinusitis ◽  
Modified Technique ◽  
Allergic Fungal Sinusitis ◽  
Transnasal Approach ◽  
History Of ◽  
Sinus Drainage ◽  
Unilateral Block

Objectives: To determine the permeability of the frontal drainage obtained by the modified Lothrop surgical technique. Study design: Descriptive and retrospective. Methods: Patients treated with modified Lothrop technique to widening the frontal recess drainage pathway which was obstructed by inflammatory or tumor diseases in the Rhinology section of the Hospital Italiano in Buenos Aires were included between April 2011 and December 2017. Patients with minor permeabilizations were excluded (Draf I-II). Results: 16 patients were treated, 7 women and 9 men, the youngest was 24 and the oldest 90. The average age was 56 years. The etiologies of diseases affecting the frontal sinus were allergic fungal sinusitis (2/16), recurred frontal mucocele with a history of Draf 2 (3/16), recurred frontal mucocele to external surgery with obliteration (1/16), frontal mucocele, nasal polyposis and cystic fibrosis (1/16), previous frontal sinusitis surgery (4/16), frontal mucopioceles (2/16) and malignant tumors originating in the ethmoid and frontal sinus (3/16). An unilateral block drainage of the frontal by mucosal hyperplasia was diagnosed in a patient, caused by her allergic fungal rhinosinusitis 5 years after Lothrop surgery. Moreover the patient was operated again by transnasal approach permeabilizing the frontal sinus. Another patient had a total obstruction of the frontal drainage and was successfully repeated with the same surgical technique. The other patients had permeable frontal drainage and were asymptomatic during the average follow-up of 3.5years. Conclusion: The obtained permeability of the frontal sinus drainage with Lothrop modified technique was 87.50% (14/16). With rescue endonasal assisted surgery, frontal sinus patency was 100%.

Frontal Sinus Drainage in Acute Pediatric Sinusitis With Intracranial Complications

2021 ◽  
pp. 194589242199131
Author(s):  
Stephen R. Chorney ◽  
Adva Buzi ◽  
Mark D. Rizzi
Keyword(s):  
Surgical Procedures ◽  
Frontal Sinus ◽  
Case Series ◽  
Primary Objective ◽  
Acute Sinusitis ◽  
Intracranial Abscess ◽  
Repeat Surgery ◽  
Initial Surgery ◽  
Intracranial Complications ◽  
Sinus Drainage

Background The indication for frontal sinus drainage is uncertain when managing pediatric acute sinusitis with intracranial complications. Objective The primary objective was to determine if addressing the frontal sinus reduced need for subsequent surgical procedures in children presenting with acute sinusitis complicated by intracranial abscess. Methods A case series with chart review was performed at a tertiary children’s hospital between 2007 and 2019. Children under 18 years of age requiring surgery for complicated acute sinusitis that included the frontal sinus with noncontiguous intracranial abscess were included. Outcomes were compared among children for whom the frontal sinus was drained endoscopically, opened intracranially, or left undrained. Results Thirty-five children with a mean age of 11.1 years (95% CI: 9.9-12.3) met inclusion. Most presented with epidural abscess (37%). Hospitalizations lasted 12.9 days (95% CI: 10.2-15.5), 46% required a second surgery, 11% required three or more surgeries, and 31% were readmitted within 60 days. Initial surgery for 29% included endoscopic frontal sinusotomy, 34% had a frontal sinus cranialization and 37% did not have any initial drainage of the frontal sinus. Groups were similar with respect to demographics, severity of infection, need for repeat surgery, length of stay, and readmissions (p > .05). Further, persistence of cranial neuropathies, seizures, or major neurological sequelae after discharge were no different among groups (p > .05). Conclusion Drainage of the frontal sinus, when technically feasible, was not associated with reduced surgical procedures or increased complications and there is unclear benefit on measured clinical outcomes.

Extramedullary Plasmacytoma of The Frontal Sinus: A Case Report

FACE ◽  
2021 ◽  
pp. 273250162110536
Author(s):  
Joshua Harrison ◽  
Samantha Marley ◽  
Shawhin Shahriari ◽  
Christian Bowers ◽  
Anil Shetty
Keyword(s):  
Frontal Sinus ◽  
Surgical Excision ◽  
Extramedullary Plasmacytoma ◽  
High Rate ◽  
Solitary Plasmacytoma ◽  
Case Presentation ◽  
Long Term Follow Up ◽  
History Of

We report a rare case of an extramedullary plasmacytoma (EMP) in the frontal sinus with an indolent clinical presentation. Although a history of trauma was absent, the initial diagnosis was a mucocele, based on the radiological findings. Upon surgical excision, the patient was found to have an EMP. EMP, a form of solitary plasmacytoma, has a significantly high rate of conversion to multiple myeloma. This mandates long-term follow-up, even after successful radiotherapy and/or resection. While radiation therapy is generally considered a first line treatment for EMP, surgical intervention may provide optimal treatment in complicated cases. This case presentation highlights the prognosis of patients diagnosed with EMP.

Endoscopic Frontal Sinus Drainage Draf Type III with Mucosal Transplants

2012 ◽  
Vol 26 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Tanja Hildenbrand ◽  
Peter J. Wormald ◽  
Rainer K. Weber
Keyword(s):  
Frontal Sinus ◽  
Type Iii ◽  
Sinus Drainage
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