A Newly Designed Anterolateral Septal Flap to Preserve the Nasal Cavity or Prevent Restenosis of the Drainage Pathway in Extended Frontal Sinus Surgery

Various mucoperiosteal flaps from the nose (nasal walls) are in use today in frontal sinus surgery in cases where a wide opening between the frontal sinus and the nasal cavity is created. These flaps are transferred to cover denuded bone in the area of opening and thus prevent the opening from narrowing or closing, which would result in the reappearance of frontal sinus problems. In this paper, a new mucoperiosteal flap taken from the upper extension of middle turbinate is described.

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Transient Positioning of a Silicone T Tube in Frontal Sinus Surgery

Otolaryngology ◽

10.1177/019459989411100613 ◽

1994 ◽

Vol 111 (6) ◽

pp. 776-780 ◽

Cited By ~ 5

Author(s):

Tatsuya Yamasoba ◽

Shigeru Kikuchi ◽

Ryuzaburo Higo

Keyword(s):

Nasal Cavity ◽

Frontal Sinus ◽

Sinonasal Tract ◽

Sinus Surgery ◽

T Tube ◽

Frontal Sinus Surgery ◽

Persistent Inflammation ◽

Mucosal Lining

We applied transient positioning of a silicone T tube in 18 patients with frontal sinus cysts. Inflammation in the nasal cavity usually subsided within 6 months of surgery, whereas the frontal sinus showed pathologic changes in more than half of the patients even 6 months after surgery. After removal of the tube, the nasofrontal passage remained open in 16 patients who obtained good aeration with an intact mucosal lining in the frontal sinus, but it eventually closed in the remaining 2 patients who failed to obtain good aeration. This finding suggests that persistent inflammation in the frontal sinus encourages the closure of the nasofrontal passage and that transient positioning of a silicone T tube is successful if it is removed after subsidence of inflammation in the sinonasal tract.

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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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