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A Short Term Subjective and Objective Analysis of Modified Endoscopic Lothrop’s Procedure and Its Functional Outcome: Our Experience

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Abstract

To study the short-term functional outcomes of the endoscopic modified Lothrop procedure with well defined subjective and objective criteria. It’s a retrospective cohort study with chart review carried out at a tertiary referral center. 31 patients with chronic frontal sinusitis who underwent endoscopic modified Lothrop’s procedure with uncinate preservation during the period Jan 2011–2014 were followed up for a period of minimum 6 months. Assessment was done post-operatively based on subjective severity score and Kennedy’s 5 point endoscopic criteria. Subjective improvement was seen in all symptoms whereas statistically significant improvement was found for the three parameters headache (p < 0.025), nose block (p < 0.03) and rhinorrhea (p < 0.05). Post operative nasal endoscopy revealed crusting and polypoidal mucosa in few patients which were managed conservatively. Asymptomatic narrowing of ostium seen in two patients. No complications were identified. The study illustrates the benefit obtained from endoscopic modified Lothrop’s surgery in chronic frontal sinusitis refractory to medical treatment and standard endoscopic sinus surgery.

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References

  1. Linder TE, Simmen D, Stool SE (1997) Revolutionary inventions in the 20th century. The history of endoscopy. Arch Otolaryngol Head Neck Surg 123(11):1161–1163

    Article  CAS  PubMed  Google Scholar 

  2. Lothrop HA (1899) The anatomy and surgery of the frontal sinus and anterior ethmoidal cells: Boston. Ann Surg 29(1):73–109

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Wright J (1914) A history of laryngology and rhinology, vol 21 series 2. Index catalog, library of the surgeon-general office. US army, Washington

    Google Scholar 

  4. Reuter MA, Reuter HJ, Engel RM (1999) History of endoscopy. Karl Storz, Tuttlingen

    Google Scholar 

  5. van Alyea OE (1941) Frontal cells: an anatomic study of these cells with consideration of their clinical significance. Arch Otolaryngol 34:11–23

    Article  Google Scholar 

  6. Kuhn FA (1996) Chronic frontal sinusitis: the endoscopic frontal recess approach. Oper Tech Otolaryngol Head Neck Surg 7:222–229

    Article  Google Scholar 

  7. Messerklinger W (1978) Endoscopy of the nose. Urban and Schwarzenberg, Baltimore

    Google Scholar 

  8. Kennedy DW (1995) International conference on sinus disease: terminology, staging, therapy. Ann Otol Rhinol Laryngol 104(167):17–21

    Google Scholar 

  9. Nayak DR, Balakrishnan R, Murthy KD (2001) Endoscopic physiologic approach to allergy associated chronic rhinosinusitis—a preliminary study. Ear Nose Throat J 80(6):390–396

    CAS  PubMed  Google Scholar 

  10. Eloy JA, Liu JK, Choudhry OJ et al (2013) Modified subtotal Lothrop procedure for extended frontal sinus and anterior skull base access. J Neurol Surg B Skull Base 74(3):130–135

    Article  PubMed  PubMed Central  Google Scholar 

  11. Gotlib T, Krzeski A, Held-Ziolkowska M et al (2012) Endoscopic transnasal management of inverted papilloma involving frontal sinuses. Wideochir Inne Tech Malo Inwazjne 7(4):299–303

    Google Scholar 

  12. Nayak DR (2015) A tailor made approach to endoscopic sinus surgery for chronic rhinosinusitis—invited editorial. OJOLHNS 9(2):6–8

    Google Scholar 

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Correspondence to D. R. Nayak.

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This article is a retrospective analysis of data and does not contain any studies with human participants or animals performed by any of the authors.

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Nayak, D.R., Pai, K., Nair, S. et al. A Short Term Subjective and Objective Analysis of Modified Endoscopic Lothrop’s Procedure and Its Functional Outcome: Our Experience. Indian J Otolaryngol Head Neck Surg 68, 481–486 (2016). https://doi.org/10.1007/s12070-016-0998-9

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  • DOI: https://doi.org/10.1007/s12070-016-0998-9

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