Paper Information

Title: 

ENDOSCOPIC FRONTAL SINUSOTOMY DRAF TYPE III PROCEDURE: A SOLUTION FOR DIFFICULT FRONTAL SINUS CASES

Type: PAPER
Author(s): SADREHOSSEINI SEYED MOUSA*
 
 *OTOLARYNGOLOGY RESEARCH CENTER, IMAM KHOMEINI HOSPITAL COMPLEX
 
Name of Seminar: INTERNATIONAL CONNGRESS OF IRANIAN SOCIETY OF OTOLARYNGYOLOGY / HEAD AND NECK SURGERY
Type of Seminar:  CONGRESS
Sponsor: 
Date:  2010Volume 1
 
 
Abstract: 

REFRACTORY RECALCITRANT FRONTAL SINUSITIS IS A CHALLENGE FOR RHINOLOGISTS. PATIENTS USUALLY PRESENT WITH A RANGE OF COMPLAINTS SUCH AS PERSISTENT FRONTAL HEADACHE, PROPTOSIS OR FRONTAL SWELLING. THERE IS A HISTORY OF PREVIOUS MULTIPLE SINUS SURGERIES. NASAL ENDOSCOPIC EXAM SHOWS SIGNIFICANT PATHOLOGY IN THE FRONTAL RECESS WITH SCAR FORMATION. PNS CT SCAN MAY REVEAL TOTAL OR LOCALIZED FRONTAL SINUS OPACIFICATION WITH OR WITHOUT ORBITAL INVASION. THE POSTERIOR WALL OF THE FRONTAL SINUS MAY BE ERODED. IN THIS CLINICAL SETTING, TREATMENT OPTIONS ARE LIMITED. ROUTINE FRONTAL SINUSOTOMIES INCLUDING DRAF TYPE IIA PROCEDURE HAVE FAILED. THE OSTEOPLASTIC FLAP APPROACH HAS BEEN STATED AS A GOLDEN STANDARD FOR THESE CASES. ENDOSCOPIC FRONTAL SINUSOTOMY DRAF TYPE III PROCEDURE HAS BEEN PROPOSED AS A VIABLE AND EFFECTIVE SOLUTION FOR THESE CASES. IT SEEMS THAT DRAF TYPE III PROCEDURE COULD MANAGE THE MAJORITY OF DIFFICULT FRONTAL SINUS CASES AND OBVIATE THE NEED FOR DOING OSTEOPLASTIC FLAP APPROACH AND ITS ASSOCIATED COMPLICATIONS. IN THIS PRESENTATION, WE PRELIMINARILY/PRIMARILY REPORT TWO CASES OF DRAF TYPE III PROCEDURE. PREOPERATIVE CONSIDERATIONS, OPERATIVE TECHNIQUES AND POSTOPERATIVE RESULTS WILL BE DISCUSSED. HIGH QUALITY VIDEOS WILL FULLY ILLUSTRATE THE SURGICAL STEPS.

 
Keyword(s): DRAF III, FRONTAL SINUSOTOMY
 
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