frontal sinus patency after extended frontal sinusotomy type iii

Authors

mansour hajbeygi department of otorhinolaryngology, khatamolanbia hospital, zahedan university of medical sciences, zahedan, iran.

ali nadjafi department of otorhinolaryngology , medical school, tehran university of medical sciences, tehran, iran.

amin amali department of otorhinolaryngology head neck surgery, valiasr hospital, imam khomeini hospital complex, tehran, iran.

babak saedi department of otorhinolaryngology head neck surgery, valiasr hospital, imam khomeini hospital complex, tehran, iran.

abstract

introduction: the surgical management of chronic frontal sinus disorders remains a challenge for rhinologists. the aim of this study was to evaluate the result of draf iii in a series of patients who underwent this procedure.   materials and methods: twenty patients were included in this study. demographic data, history of prior surgery, asthma,  aspirin sensitivity and lund–mackay score were recorded. a visual analog scale was used for frontal-related symptoms. patients were followed for a mean duration of 17.5 months and the patency of the frontal sinus ostium was closely monitored.   results: fifteen patients with chronic frontal sinusitis, two patients with mucoceles, two with malignancy, and one with osteoma underwent draf iii. the mean symptoms score significantly decreased from 5.9 to 3. no ostial closure was seen in the follow-up period. among 15 patients with chronic frontal sinusitis, 12 had patent ostia of whom three had significant stenosis. all patients with mucocele and osteoma had patent ostia in the follow-up period but patients with sinonasal malignancy showed significant stenosis.   conclusion: draf iii frontal sinusotomy is successful in alleviating patient symptoms and the frontal sinus neo-ostium will remain patent in long-term follow-up of most patients. revision surgery will be required in some cases, which seems to be related to the nature of the underlying chronic sinus diseases.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Frontal Sinus Patency after Extended Frontal Sinusotomy Type III

Introduction: The surgical management of chronic frontal sinus disorders remains a challenge for rhinologists. The aim of this study was to evaluate the result of Draf III in a series of patients who underwent this procedure.   Materials and Methods: Twenty patients were included in this study. Demographic data, history of prior surgery, asthma,  aspirin sensitivity and Lund–Mackay score were r...

full text

Frontal Sinus Patency after Extended Frontal Sinusotomy Type III

INTRODUCTION The surgical management of chronic frontal sinus disorders remains a challenge for rhinologists. The aim of this study was to evaluate the result of Draf III in a series of patients who underwent this procedure. MATERIALS AND METHODS Twenty patients were included in this study. Demographic data, history of prior surgery, asthma, aspirin sensitivity and Lund-Mackay score were reco...

full text

Revision endoscopic frontal sinusotomy with mucoperiosteal flap advancement: the frontal sinus rescue procedure.

Frontal sinusitis after middle turbinate resection occurs because of stenosis of the frontal ostium by soft tissue scarring or residual bony fragments (which are pulled to the medial orbital wall by scar contracture). Standard endoscopic techniques cannot address this problem; however, revision endoscopic frontal sinusotomy with mucoperiosteal flap advancement (the frontal sinus rescue procedur...

full text

Type III frontal sinusotomy: surgical technique, indications, outcomes, a multi-university retrospective study of 120 cases.

Draf in 1991. The procedure--which is also known as the modified endoscopic Lothrop procedure--aims to create the largest possible anteroposterior and lateral to lateral opening between both frontal sinuses and the nasal cavities. This requires the resection of the medial floor of both frontal sinuses, the intersinus septum and the superior nasal septum. The authors present a retrospective stud...

full text

[Patency of the ostium of the frontal sinus after endoscopic endonasal surgery for chronic sinusitis].

We examined the patency of the ostium of the frontal sinus after endoscopic endonasal surgery for chronic sinusitis. This study involved one hundred and seventy-two nasal sides of ninety cases who underwent surgery in this unit in the preceding three-year period by the designated three surgeons. All patients were followed up for more than one year after surgery. We obtained a high postoperative...

full text

Frontal sinus adenocarcinoma.

CONTEXT Paranasal sinus cancer is considered rare, with an incidence of less than 1 per 100,000 per year, with the frontal sinus being the primary site in only 0.3%. We report a case of adenocarcinoma arising in the frontal sinus. DESIGN Case report. CASE REPORT A 59-year-old woman, secretary, came in February 1998 with a 4-month history of low intensity frontal headache. She denied contact...

full text

My Resources

Save resource for easier access later


Journal title:
iranian journal of otorhinolaryngology

جلد ۲۸، شماره ۵، صفحات ۳۳۷-۳۴۳

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023