An International Journal Clinical Rhinology

Register      Login

VOLUME 6 , ISSUE 2 ( May-August, 2013 ) > List of Articles

RESEARCH ARTICLE

Endoscope-assisted External Approach for Lateral Lesions in Frontal Sinus

Raghunath Shanbag, Vijay Bidkar, Ashok Naik, Roshan Jalisatgi

Keywords : Frontal sinus,Cerebrospinal fluid leak,Mucocele,Brow incision

Citation Information : Shanbag R, Bidkar V, Naik A, Jalisatgi R. Endoscope-assisted External Approach for Lateral Lesions in Frontal Sinus. Clin Rhinol An Int J 2013; 6 (2):72-76.

DOI: 10.5005/jp-journals-10013-1156

Published Online: 01-08-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Background

Lesions of the frontal sinus (FS) are always a surgical challenge. Conventional endonasal endoscopic techniques do not provide complete access inside the FS. This is especially true with laterally placed lesions like mucocele or post-traumatic cerebrospinal fluid (CSF) leak from FS. Standard procedures like osteoplastic flap and endoscopic modified Lothrop are not feasible for these smaller unilateral lesions with normally functioning contralateral sinus.

Study design

Retrospective case study of laterally placed posterior table CSF leak and frontal mucocele were evaluated for their clinical presentation, radiological, operative findings and follow-up.

Conclusion

Complete external approaches to the lateral lesion of FS are associated with high morbidity. Ability of the endoscopes to visualize lateral and posterior extents of the FS directly through the brow incision helps in complete repair/ excision of these lesions without any difficulty.

How to cite this article

Shanbag R, Bidkar V, Naik A, Jalisatgi R. Endoscope-assisted External Approach for Lateral Lesions in Frontal Sinus. Clin Rhinol An Int J 2013;6(2):72-76.


PDF Share
  1. Surgery of the frontal recess and frontal sinus. Rhinology 2005 Jun;43(2):82-85.
  2. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea: a meta-analysis. Laryngoscope 2000 Jul;110(7):1166-1172.
  3. Endoscopic endonasal approaches for cerebrospinal fluid leaks: nine year experience. Neurosurgery 2006 Apr;58(4 Suppl 2):246-255.
  4. Aspekte zur stirnhoehlenchirurgie. Teil I: Die endonasale stirnhoehlendrainage bei entzuendlichen erkrankungen der nasennebenhoehlen. HNO 1995;43:352-357.
  5. Endonasal frontal sinusotomy in surgical management of chronic rhinosinusitis: a critical evaluation. Am J Rhinol 1997 Jan-Feb;11(1):1-9.
  6. Clinical anatomy of nasal process of frontal bone (spina nasalis interna). Otolaryngol Head Neck Surg 2001 Jul;125(1):60-65.
  7. Schinzel S, Thomas S, Lawson W. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 patients. Laryngoscope 2000 Jun;110(6):1037-1044.
  8. Comprehensive management of failed frontal sinus obliteration. Am J Rhinol 2008 May-Jun;22(3):263-265.
  9. Superior oblique muscle palsy after frontal sinus mini-trephine. Am J Otolaryngol 2012 Jan-Feb;33(1):181-183.
  10. Combined endoscopic trephination and endoscopic frontal sinusotomy for management of complex frontal sinus pathology. Am J Rhinol 2005 Sep-Oct;19(5):435-441.
  11. Combined endoscopic intranasal and external frontal sinusotomy. Am J Rhinol 1997 Sep-Oct;11(5):349-354.
  12. Combined external and endoscopic frontal sinusotomy with stent placement: a retrospective review. Laryngoscope 2001 Jul;111(7):1246-1249.
  13. Endoscopic repair of supraorbital ethmoids cerebrospinal fluid leaks. ORL J Otorhinolaryngol Relat Spec 2009;71(2):93-98.
  14. Anatomical consideration in the aetiology of frontoethmoidal mucoceles. Rhinology 1987 Jun;25(2):83-88.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.