Endoscopic Approaches to the Frontal Sinus

Eloy, Jean Anderson; Vázquez, Alejandro; Liu, James K.; Baredes, Soly

doi:10.1016/j.otc.2016.03.023

Cited by 29 publications

(5 citation statements)

References 13 publications

(13 reference statements)

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“…An alternative to salvage failed FESS is the endoscopic modified Lothrop procedure (EMLP), also known as the Draf 3 procedure [93,95]. Endoscopic modified Lothrop procedure results in a large common drainage pathway for both frontal sinuses by removing the medial frontal sinus floor bilaterally to the orbits laterally and resecting the superior nasal septum and intersinus septum [94,100]. Another advantage is the ability for sinus rinses to penetrate and distribute within the frontal sinus through the new common pathway with mathematical models showing a significantly increased penetration of sinus rinses into the frontal sinuses after EMLP [101].…”

Section: Surgical Procedures and Outcomesmentioning

confidence: 99%

Aspirin Exacerbated Respiratory Disease: Epidemiology, Pathophysiology, and Management

Lee

Abuzeid

2019

Medical Sciences

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The correlation between aspirin sensitivity, asthma, and nasal polyposis was recognized in the early 20th century. Today, this classic triad of symptoms, eponymously named Samter’s Triad, is known as aspirin exacerbated respiratory disease (AERD). Aspirin exacerbated respiratory disease affects approximately 0.3–0.9% of the general population in the USA and approximately 7% of asthmatic patients. The management of AERD is challenging as no single modality has proven to have high rates of symptom control. Consequently, disease management typically involves a multimodality approach across both medical and surgical disciplines. This review describes the epidemiology of AERD and the current state-of-the-art as it relates to the underlying pathophysiologic mechanisms of this disease process. A significant proportion of the review is focused on the appropriate diagnostic workup for AERD patients including the utility of aspirin provocation testing. The spectrum of medical treatments, including aspirin desensitization and recently introduced immunotherapies, are discussed in detail. Furthermore, surgical approaches to disease control, including advanced endoscopic techniques, are reviewed and treatment outcomes presented.

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Section: Surgical Procedures and Outcomesmentioning

confidence: 99%

Aspirin Exacerbated Respiratory Disease: Epidemiology, Pathophysiology, and Management

Lee

Abuzeid

2019

Medical Sciences

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“…Moreover, the growing experience acquired in sinonasal endoscopic surgery has prompted a wide diffusion of endoscopic resection in the surgical management of these cancers and the concept of “oriented disassembling” of the lesion has definitely proved its validity in terms of oncological safety, with outcomes comparable to those of the classical “en bloc” resection 6 . In the last decade, the progressive development of endoscopic techniques has allowed to manage difficult regions such as the frontal sinus 13 , various areas of the maxillary sinus 14 , 15 , the infratemporal fossa 16 and orbit 17 .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of advanced sinonasal cancer: a 10-year mono-institutional experience

Sileo,

Arosio,

Lambertoni

et al. 2024

Acta Otorhinolaryngol Ital

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SUMMARY Objective Endoscopic endonasal surgery is effective in the treatment of sinonasal cancers. However, in cases of well-differentiated locally advanced neoplasms as well as recurrences, the most appropriate treatment is debated. The purpose of this study is to report a mono-institutional experience on craniofacial surgery performed in a tertiary-care referral centre. Methods This was a retrospective analysis of 90 patients treated with transcranial and/or transfacial resection for sinonasal cancer between 2010 and 2020. Outcome measures included overall survival (OS), disease-specific survival (DSS), disease-free survival (DFS) and recurrence-free survival (RFS). Results The 5-year OS, DSS and DFS were 48.2%, 60.6% and 28.7%, respectively. Factors correlated with prognosis were pT-classification (p = 0.002), histotype (p = 0.012) and dural involvement (p = 0.004). Independent prognostic factors were orbital apex infiltration (p = 0.03), age (p = 0.002) and adjuvant therapy (p = 0.03). Conclusions When endoscopic endonasal surgery is contraindicated and chemoradiotherapy is not appropriate, craniofacial and transfacial approaches still represent an option to consider, despite the non-negligible morbidity.

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“…The progressive evolution of techniques to address frontal sinus diseases have led to codification of a considerable number of surgical approaches, which are characterized by different invasiveness, grade of demolition of the frontal recess or walls of the frontal sinus. Different classifications have been proposed, especially for the endoscopic procedures, the most used and known ones being represented by the Draf classification [1] and its modifications [2]. The present study refers to the Draf classification to summarize the endoscopic approaches to the frontal sinus.…”

Section: Text Of Reviewmentioning

confidence: 99%

Comprehensive access strategies to the frontal sinus

Turri‐Zanoni

Battaglia

Bignami

et al. 2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewDespite the impressive evolutions in endoscopic endonasal approaches and instrumentations, the frontal sinus remains a challenging area. Different surgical options have been described over the years, but the main criticism lies in choosing the most suitable approach for a given case, based on the anatomy of each patient and the disease to treat. The purpose of this study is to provide a comprehensive review of surgical access strategies currently available to address the frontal sinus, including both endonasal and traditional external procedures, analysing indications, contraindications, complications and outcomes. Recent findingsFrontal sinus surgery includes minimally invasive endonasal approaches (balloon dilatation, Draf type I); extended endonasal approaches (Draf type IIA-IIB-IIC, Draf type III and their modifications via orbital transposition and contralateral pyriform aperture resection); external procedures (superior eyelid incision, frontal osteoplastic flap, Riedel procedure, Riedel-Mosher operation); and combined approaches. SummaryRecent advances in endoscopic endonasal techniques have deeply reshaped the surgical options to manage frontal sinus diseases, in an attempt to minimize the invasiveness of the procedures and maximize their outcomes. Traditional external procedures should be used in selected cases nonamenable for endonasal surgery. The appropriate selection of cases appears to be of paramount importance to obtain successful outcomes.

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Endoscopic Approaches to the Frontal Sinus

Cited by 29 publications

References 13 publications

Aspirin Exacerbated Respiratory Disease: Epidemiology, Pathophysiology, and Management

Aspirin Exacerbated Respiratory Disease: Epidemiology, Pathophysiology, and Management

Surgical management of advanced sinonasal cancer: a 10-year mono-institutional experience

Comprehensive access strategies to the frontal sinus

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