Abstract
Traditional frontal sinus surgery is associated with a significant trauma. Herein, we have discussed the feasibility, technique, and efficacy of a minimally invasive anterior-to-ethmoidal bulla surgical approach performed under nasal endoscopy to treat isolated frontal sinusitis. Fifteen patients with isolated frontal sinusitis underwent the anterior-to-ethmoidal bulla surgical procedure under general anesthesia. The opening of the frontal sinus was located by frontal mini-trephination in 1 patient. The effects of the operation were evaluated by regular postoperative follow-up. The average postoperative follow-up period was 12.7 months (range 6–24 months). The postoperative symptom of headache was completely resolved in all 15 patients, and 12 patients had good opening of the frontal sinus and complete epithelization was observed by nasal endoscopy. The frontal sinus of 3 patients was not opened, but these patients did not show subjective symptoms. The anterior-to-ethmoidal bulla surgical approach is ideal for isolated frontal sinusitis.
Similar content being viewed by others
References
Jacobs, J. B. (1997). 100 years of frontal sinus surgery. Laryngoscope, 107, 1–36.
Lee, W. T., Kuhn, F. A., & Citardi, M. J. (2004). 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngology, 131, 164–173.
Friedman, M., Bliznikas, D., Vidyasagar, R., et al. (2004). Frontal sinus surgery 2004: Update of clinical anatomy and surgical techniques. Operative Techniques in Otolaryngology, 15, 23–31.
Landsberg, R., Segev, Y., Friedman, M., et al. (2006). A targeted endoscopic approach to chronic isolated frontal sinusitis. Otolaryngology, 134, 28–32.
Seiden, A. M., & Martin, V. T. (2001). Headache and the frontal sinus. Otolaryngologic Clinics of North America, 34, 227–241.
Wang, Q., Ji, J., Li, Z., et al. (2006). Endoscopic frontal sinus surgery through the route anterior to ethmoidal bulla. Zhong Guo Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 13, 583–586.
Landsberg, R., & Friedman, M. (2001). A computer-assisted anatomical study of the nasofrontal region. Laryngoscope, 111, 2125–2130.
Han, D., Zhang, L., Ge, W., et al. (2008). Multiplanar computed tomographic analysis of the frontal recess region in Chinese subjects without frontal sinus disease symptoms. ORL: Journal of Oto-Rhino-Laryngology and Its Related Specialties, 70, 104–112.
Kim, K. S., Kim, H. U., Chung, I. H., et al. (2001). Surgical anatomy of the nasofrontal duct: Anatomical and computed tomographic analysis. Laryngoscope, 111, 603–608.
Wormald, P. J. (2003). The agger nasi cell: The key to understanding the anatomy of the frontal recess. Otolaryngology, 129, 497–507.
Cohen, A. N., & Wang, M. B. (2007). Minitrephination as an adjunctive measure in the endoscopic management of complex frontal sinus disease. American Journal of Rhinology, 21, 629–636.
Conflict of interest
The authors have declared no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Jun-feng Ji and You Cheng contributed equally to this work. They are co-first authors.
Rights and permissions
About this article
Cite this article
Ji, Jf., Cheng, Y., Wang, Ty. et al. Isolated Frontal Sinusitis Treated Using an Anterior-to-Ethmoidal Bulla Surgical Approach. Cell Biochem Biophys 70, 1153–1157 (2014). https://doi.org/10.1007/s12013-014-0035-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12013-014-0035-0