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Endoscopic Transseptal Approach to Frontal Sinus Disease

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Abstract

This paper describes an endoscopic transseptal approach to identify and access the frontal sinus and reviews the clinical cases. Between May 2004 and July 2010, endoscopic modified Lothrop procedure (EMLP) with transseptal approach was performed on sixteen patients. The indications for EMLP were complicated frontal sinusitis or cyst, revision surgery for failed frontal sinusotomy or Lynch procedure, or trauma cases. The first step of this procedure was to open a window in the bilateral anterior portion of the middle turbinates and nasal septum. The nasal septum, which could be observed through the window, should be the landmark of the midline during the surgery. A drill bur was raised up just behind the nasal bone along the midline of the nose. After the bilateral frontal sinuses and their posterior walls were confirmed, the interfrontal septum was removed superiorly. We reviewed the clinical records of patients who underwent the EMLP with transseptal approach. We have managed sixteen patients in this fashion. Neither intracranial nor orbital complications were encountered during or after surgery. Endoscopic transseptal frontal sinus surgery is simple to perform, and does not cause severe complications.

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References

  1. Loehrl TA, Toohill RJ, Smith TL (2000) Use of computer-aided surgery for frontal sinus ventilation. Laryngoscope 110(11):1962–1967

    Article  CAS  PubMed  Google Scholar 

  2. Stammberger H, Posawetz W (1990) Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 247(2):63–76

    Article  CAS  PubMed  Google Scholar 

  3. Weber R, Draf W, Kratzsch B, Hosemann W, Schaefer SD (2001) Modern concepts of frontal sinus surgery. Laryngoscope 111(1):137–146

    Article  CAS  PubMed  Google Scholar 

  4. Wormald PJ (2003) Salvage frontal sinus surgery: the endoscopic modified Lothrop procedure. Laryngoscope 113(2):276–283

    Article  PubMed  Google Scholar 

  5. Kikawada T, Fujigaki M, Kikura M, Matsumoto M, Kikawada K (1999) Extended endoscopic frontal sinus surgery to interrupted nasofrontal communication caused by scarring of the anterior ethmoid: long-term results. Arch Otolaryngol Head Neck Surg 125(1):92–96

    Article  CAS  PubMed  Google Scholar 

  6. McLaughlin RB, Hwang PH, Lanza DC (1999) Endoscopic trans-septal frontal sinusotomy: the rationale and results of an alternative technique. Am J Rhinol 13(4):279–287

    Article  CAS  PubMed  Google Scholar 

  7. Gallagher RM, Gross CW (1999) The role of mini-trephination in the management of frontal sinusitis. Am J Rhinol 13(4):289–293

    Article  CAS  PubMed  Google Scholar 

  8. Zacharek MA, Fong KJ, Hwang PH (2006) Image-guided frontal trephination: a minimally invasive approach for hard-to-reach frontal sinus disease. Otolaryngol Head Neck Surg 135(4):518–522

    Article  PubMed  Google Scholar 

  9. Snyderman C, Zimmer LA, Kassam A (2004) Sources of registration error with image guidance systems during endoscopic anterior cranial base surgery. Otolaryngol Head Neck Surg 131(3):145–149

    Article  PubMed  Google Scholar 

  10. Chandra RK, Schlosser R, Kennedy DW (2004) Use of the 70° diamond burr in the management of complicated frontal sinus disease. Laryngoscope 114(2):188–192

    Article  PubMed  Google Scholar 

  11. Dubin MG, Kuhn FA (2005) Endoscopic modified Lothrop (Draf III) with frontal sinus punches. Laryngoscope 115(9):1702–1703

    Article  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otorhinolaryngology - Head and Neck Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai, Osaka, 591-8025, Japan

    Suetaka Nishiike

  2. Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Okayama, 701-0192, Japan

    Shigetoshi Yoda

  3. Department of Otorhinolaryngology – Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, 565-0871, Japan

    Takashi Shikina

  4. Department of Otorhinolaryngology, Junteno University School of Medicine, Tokyo, 113-8421, Japan

    Junko Murata

Authors
  1. Suetaka Nishiike
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  2. Shigetoshi Yoda
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  3. Takashi Shikina
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  4. Junko Murata
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Correspondence to Suetaka Nishiike.

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Nishiike, S., Yoda, S., Shikina, T. et al. Endoscopic Transseptal Approach to Frontal Sinus Disease. Indian J Otolaryngol Head Neck Surg 67, 287–291 (2015). https://doi.org/10.1007/s12070-015-0879-7

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  • DOI: https://doi.org/10.1007/s12070-015-0879-7

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