Endoscopic Endonasal Treatment of Ostium of the Frontal Sinus and the Results of Endoscopic Surgery
| Autor: | Kensaku Kaneta, Hiroshi Moriyama, Masaya Fukami, Kiyoshi Yanagi, Nobuyoshi Ohtori |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Frontal sinus
medicine.medical_specialty Endoscopic endonasal surgery business.industry Endoscopic surgery eye diseases Surgery 03 medical and health sciences Ostium 0302 clinical medicine medicine.anatomical_structure Otorhinolaryngology Anterior ethmoidal artery 030220 oncology & carcinogenesis medicine.artery otorhinolaryngologic diseases Medicine 030223 otorhinolaryngology business Duct (anatomy) |
| Zdroj: | American Journal of Rhinology. 8:67-70 |
| ISSN: | 1539-6290 1050-6586 |
| DOI: | 10.2500/105065894781874449 |
| Popis: | We discuss a procedure for opening the nasofrontal duct and the postoperative findings in endoscopic endonasal surgery. The route of the anterior ethmoidal artery was also studied. The subjects of this study were 57 patients (105 sides) who had frontal sinus disease. The patients all underwent surgery for chronic sinusitis between 1990 and 1992. Patients undergoing revision surgery were excluded. All patients were operated on by the same surgeon. In each patient, following anterior and posterior ethmoidectomy, the frontal sinus ostial region was opened using a 70 endoscope, while carefully monitoring the anterior ethmoidal artery. The agger nasi was left intact. The cells around the ostium were opened using a curved suction tip and upward bent forceps, and the lamellae were removed to achieve the greatest possible communication with the frontal sinus. In 77 sides (73.4%), the communication between the frontal and ethmoidal sinuses was well maintained. The ostium was patent with edematous mucosa in 18 sides (17.1%). The opened ostium could not be confirmed due to presence of polyp, etc., in 10 sides (9.5%). During surgery, the route of the anterior ethmoidal artery was confirmed in 70.8%; and of these cases, it was located anterior to the third ground lamella in about 50%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|