Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls and Approach Selection

Zeina R. Korban, Roy R Casiano

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

The mainstay of frontal sinus surgery for chronic rhinosinusitis is to achieve and maintain an adequate frontal outflow tract. Using a stepwise approach and identifying critical endoscopic anatomic landmarks, to minimize complications and obtain long-term good endoscopic surgical results, should achieve this. The goal is to relieve the patient's symptoms, restore functional mucociliary flow, achieve a wide frontal sinus ostium and prevent long-term scarring and stenosis. Meticulous dissection and appropriate use of instrumentation and techniques aids in preventing unnecessary damage to normal mucosa while achieving one's goal of an adequate surgical ostium.

Original languageEnglish (US)
Pages (from-to)989-1006
Number of pages18
JournalOtolaryngologic Clinics of North America
Volume49
Issue number4
DOIs
StatePublished - Aug 1 2016

Keywords

  • Draf
  • Endoscopic modified Lothrop procedure (EMLP)
  • Frontal recess
  • Posterior frontal sinus wall

ASJC Scopus subject areas

  • Otorhinolaryngology

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