Transnasal Endoscopic Repair of Posterior Table Fractures

Chaaban, Mohamad R.; Conger, Bryant T.; Riley, Kristen; Woodworth, Bradford A.

doi:10.1177/0194599812462547

Cited by 48 publications

(57 citation statements)

References 32 publications

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“…If a portion of the posterior table of the frontal sinus was resected or a cerebrospinal fluid (CSF) leak was present, the nasoseptal flap or free grafts were used for coverage during skull-base repair. [8][9][10][11] The perichondrial/periosteal side of the septal or turbinate mucosal grafts were thinned if necessary to 1 to 2 mm thickness and placed over exposed bone of the nasofrontal beak. Silastic frontal sinus stents, 0.5 mm thickness, were then inserted to support the mucosal grafts.…”

Section: Methodsmentioning

confidence: 99%

Draf III mucosal graft technique: long‐term results

Illing

Cho

Riley

et al. 2016

Int Forum Allergy Rhinol

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Section: Methodsmentioning

confidence: 99%

Draf III mucosal graft technique: long‐term results

Illing

Cho

Riley

et al. 2016

Int Forum Allergy Rhinol

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“…Das and Balasubramanian published the concomitant use of endoscopic frontal sinusotomy and access holes drilled through the anterior frontal sinuses in nine patients . Lastly, posterior table fracture repair in one patient was described retrospectively by Jatana et al, and one patient was reviewed through a prospective trial by Chaaban et al Koento further supports anterior table and posterior table fractures repair through frontal sinus trephinations . Mucoceles were not included in this section, as all studies did not discuss whether these were secondary to noninflammatory pathology.…”

Section: Resultsmentioning

confidence: 99%

Contemporary applications of frontal sinus trephination: A systematic review of the literature

2015

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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.

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“…In addition, an FS outflow tract may be blocked by the repair materials or postoperative adhesion, causing complications such as iatrogenic mucous cysts or FS inflammation;2 therefore, the cure rate of FS-CSFR is lower than CSFR at other locations. Transnasal endoscopic approach has been limited for FS-CSFR 8. Although the transnasal endoscopic modified Lothrop or Draf III procedure improved the treatment of FS-CSFR, its use has been limited due to its more severe surgical injury to the transnasal structure and more difficult surgery 9.…”

Section: Discussionmentioning

confidence: 99%

“…Our study encompassed five patients in this type (type A). For those defects located in the lateral plane of the lamina papyracea or medial to the plane but difficult to expose during surgery (type B), it is recommended to use the combined approach 2,8,12…”

Section: Discussionmentioning

confidence: 99%

Transnasal endoscopic and combined intra–extranasal approach for the surgical treatment of frontal sinus cerebrospinal fluid rhinorrhea

Yang

Huang

Wang

et al. 2017

TCRM

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The aim of this study was to summarize and analyze the outcomes of frontal sinus cerebrospinal fluid rhinorrhea (FS-CSFR) treated by transnasal endoscopic and combined intra–extranasal approach. Clinical data on 20 cases of FS-CSFR patients from 2005 to 2013, with emphasis on the postoperative complications, clinical outcomes, and key technology involved in the combined intra–extranasal procedure, were retrospectively reviewed. Among the 20 cases, 12 were treated by combined intra–extranasal procedure; the other eight cases were initially treated by trans-nasal endoscopic approach alone, and five of them (5/8, 62.5%) were successfully treated and three failed. The three failed cases subsequently underwent combined intra–extranasal approach. A total of 15 cases, who received combined procedure, experienced fast recovery, had mild complications, and had no significant facial scars, and no CSFR recurrence was observed. Combined intra–extranasal approach offers advantages in not only overcoming the difficulty of insufficient exposure of defects during transnasal endoscopic procedure but also improving the success rate of repair.

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Transnasal Endoscopic Repair of Posterior Table Fractures

Cited by 48 publications

References 32 publications

Draf III mucosal graft technique: long‐term results

Draf III mucosal graft technique: long‐term results

Contemporary applications of frontal sinus trephination: A systematic review of the literature

Transnasal endoscopic and combined intra–extranasal approach for the surgical treatment of frontal sinus cerebrospinal fluid rhinorrhea

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Transnasal Endoscopic Repair of Posterior Table Fractures

Cited by 48 publications

References 32 publications

Draf III mucosal graft technique: long‐term results

Draf III mucosal graft technique: long‐term results

Contemporary applications of frontal sinus trephination: A systematic review of the literature

Transnasal endoscopic and combined intra&ndash;extranasal approach for the surgical treatment of frontal sinus cerebrospinal fluid rhinorrhea

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Product

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Transnasal endoscopic and combined intra–extranasal approach for the surgical treatment of frontal sinus cerebrospinal fluid rhinorrhea