Combined Lid Crease and Endoscopic Approach to Lateral Frontal Sinus Disease With Orbital Extension.

Authors:
Chadi A Makary
Chadi A Makary
West Virginia University School of Medicine
John Nguyen
John Nguyen
Harvard Medical School
United States

Ann Otol Rhinol Laryngol 2018 Sep 4;127(9):637-642. Epub 2018 Jul 4.

2 Department of Otolaryngology, West Virginia University, Morgantown, West Virginia, USA.

Introduction: Functional endoscopic sinus surgery for frontal sinus disease has obviated the need for external approaches. Special circumstances such as acute infection with orbital involvement or significant lateral sinus disease frequently require adjunct access. We describe the clinical outcomes of a combined upper eyelid crease and endoscopic approach for lateral frontal sinus disease with orbital extension.

Methods: A retrospective case series of 7 patients who underwent a combined lid crease approach for frontal sinus disease with orbital extension between April 2012 and October 2016 was performed. All patients had the presence of lateral frontal sinus disease as well as orbital extension as seen on a preoperative computed tomography (CT) scan. Patient demographics, indications for surgery, and perioperative findings were examined.

Results: Six of the 7 patients were male. Mean age was 61 years, and the indication for surgery was primarily drainage of mucopyocele and inverting papilloma (IP) in 1 patient. The frontal sinus and orbit were successfully accessed, and the respective pathology was addressed in both locations. No intraoperative or postoperative complications were encountered. There was no postoperative or cosmetic complications.

Conclusion: The combined lid crease and endoscopic approach is a safe and effective technique for accessing the lateral frontal sinus and orbit.

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489418784967DOI Listing
September 2018
9 Reads

Publication Analysis

Top Keywords

frontal sinus
28
sinus disease
24
lateral frontal
16
disease orbital
12
endoscopic approach
12
orbital extension
12
lid crease
12
crease endoscopic
12
combined lid
12
sinus
9
approach lateral
8
sinus orbit
8
frontal
7
disease
6
orbital
5
lateral
5
crease approach
4
approach frontal
4
underwent combined
4
patients underwent
4

References

(Supplied by CrossRef)

Similar Publications