Contemporary applications of frontal sinus trephination: A systematic review of the literature.
نویسندگان
چکیده
Our objective was to perform a systematic review of the literature on contemporary indications and outcomes for frontal sinus trephination and present an illustrative case of an endoscopically assisted repair of a subcutaneous frontal sinus fistula by trephination technique. PubMed and Ovid databases were used as data sources. A systematic review of the English literature was completed to review reports of frontal trephination from 1980 to 2014. Articles meeting inclusion criteria for inflammatory and noninflammatory indications were reviewed. Articles were systematically reviewed and graded by evidence-based medicine level. An illustrative case from our institution is then presented. The systematic review identified 2,621 published studies. Thirty-eight studies were identified for inclusion. The indications, techniques, outcomes, safety, and complications were reviewed for noninflammatory and inflammatory conditions. There were 32 retrospective case series, reports, or cohort studies (level 4), four systematic reviews (level 3), one prospective analysis (level 3), and one meta-analysis (level 2). Due to the heterogeneity of study cases and inclusion criteria, a meta-analysis was not feasible. We also present a novel closure of an anterior skull base defect resulting in a subcutaneous fistula with use of a frontal trephination approach. The frontal sinus trephination should not be regarded as a procedure of the past, as it useful in the armamentarium of the modern sinus and skull base surgeon. This approach provides access for instrumentation for hard-to-reach frontal sinus disease either purely through a trephination approach or as a supplementation to the transnasal endoscopic approach. Evidence supporting frontal sinus trephination is of levels 2, 3, and 4. Level of evidence: NA.
منابع مشابه
Evaluating the safety of frontal sinus trephination.
OBJECTIVES/HYPOTHESIS The depth of the frontal sinus was measured using axial computed tomography (CT) images to examine the safety of frontal sinus trephination at selected distances from the midline. STUDY DESIGN Review of 200 sinus CT scans. METHODS Two hundred sinus CT scans (400 frontal sinuses) were reviewed to measure the frontal sinus depth at 5 mm, 10 mm, and 15 mm from midline. ...
متن کاملModified glabellar rhytid incision for frontal sinus trephination.
INTRODUCTION Surgical management of the frontal sinus is more complex compared to the other sinuses. Testament to this fact is that for years the standard for refractory frontal disease has been the destructive procedure of an osteoplastic flap with complete obliteration of the sinus. With better understanding of the physiology of the paranasal sinuses, there has been a shift toward surgery dir...
متن کاملThe endoscopic-assisted trephination approach for repair of frontal sinus cerebrospinal fluid leaks.
INTRODUCTION Endoscopic techniques have been used extensively for the treatment of sinonasal skull base defects and resulting cerebrospinal fluid (CSF) leaks. Endoscopic surgery allows for improved visualization, high success rates, reduced morbidity, and shorter hospital stays. Most ethmoid and sphenoid skull base defects can be repaired endoscopically, but endoscopic repair of frontal sinus d...
متن کاملA case report of intraoperative retroorbital fluid dissection after frontal mini-trephine placement.
OBJECTIVES/HYPOTHESIS We report a case of a 24-year-old male with a history of allergic fungal sinusitis, who experienced an intraoperative retro-orbital fluid dissection after frontal mini-trephine placement. Although mini-trephination of the frontal sinus is a useful technique that is frequently employed during endoscopic sinus surgery, it has potential complications. The purpose of this repo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Laryngoscope
دوره 125 9 شماره
صفحات -
تاریخ انتشار 2015