What Is the Role of the Endoscope in the Sinus Preservation Management of Frontal Sinus Fractures?

Elkahwagi, Mohamed; Eldegwi, Ahmed

doi:10.1016/j.joms.2020.04.025

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…The endoscope also can be used to evaluate the integrity of the nasofrontal duct in detail via sinuscopy once entered into the frontal sinus. The diagnostic and treatment advantage endoscopy provides in ensuring patency of the nasofrontal duct has been shown to be a significant factor in frontal sinus preservation (28). Under direct visualization through the endoscope, the fractured anterior table segments are reduced with instruments (typically a periosteal elevator or nerve hook) placed through distant stab incisions within the hairline.…”

Section: Techniquementioning

confidence: 99%

“…When conducting obliteration operations under open technique, the endoscope provides assistances in evaluating all internal aspects of the frontal sinus to ensure all sinus mucosa is removed, and also to evaluate the posterior wall of the sinus after peripheral ostectomy. Similar to the endoscope's efficacy in evaluating patency of the nasofrontal duct, during obliteration cases, the scope can be navigated to inspect and ensure that the duct is completely sealed via autogenous or alloplastic means (such as fibrin glue) (23,(26)(27)(28).…”

Section: Techniquementioning

confidence: 99%

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A review of endoscopic surgical applications in oral and maxillofacial surgery

Fanelli¹,

Vera²,

Ahn³

et al. 2023

Front Oral Maxillofac Med

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Introduction & historyEndoscopy can be broadly defined as the ability to visualize internal structures within the body using an illuminated, navigable instrument called an endoscope which can be introduced via a natural orifice or surgical incision (1). In 1806 Phillipp Bozzini produced the first internally lit endoscope which he coined "Lichtleiter" by implementing a candle and a system of angled mirrors for observation (2). The term endoscope subsequently came to prominence in 1853 when Antonin Jean Desormeaux applied this novel technology to perform endoscopic urological surgery. He coined the term "endoscope" (3). Employment of this minimally invasive, novel technology continued with application to other anatomical structures of the body. The introduction of the endoscope into a joint cavity known

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Section: Techniquementioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

A review of endoscopic surgical applications in oral and maxillofacial surgery

Fanelli¹,

Vera²,

Ahn³

et al. 2023

Front Oral Maxillofac Med

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“…34 When choosing endoscopic approaches along with any surgical approach in frontal sinus fractures, it is important to select the right management plan for each fracture type and climbing the ladder of invasiveness if deemed necessary to prevent future complications. 35…”

Section: Role Of Endoscopic Techniquesmentioning

confidence: 99%

“…If the fracture has an extreme superior or lateral extension within the posterior table, instruments currently in use may not have proper access 34 . When choosing endoscopic approaches along with any surgical approach in frontal sinus fractures, it is important to select the right management plan for each fracture type and climbing the ladder of invasiveness if deemed necessary to prevent future complications 35 …”

Section: Role Of Endoscopic Techniquesmentioning

confidence: 99%

Frontal Sinus Fractures: A Review on Etiology and Management Emphasizing Minimally Invasive and Endoscopic Techniques

Langlie

Kim

Thaller

2021

Journal of Craniofacial Surgery

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It is a safe and reliable flap, and the blood supply is unaffected in patients with prior neck dissection. In comparison with other locoregional flaps, the upper trapezius myocutaneous flap fulfills all aesthetic and functional criteria for secondary cervicofacial soft tissue reconstruction in ''frozen neck.'' REFERENCES 1. Krijgh DD, Mureau MA. Reconstructive options in patients with late complications after surgery and radiotherapy for head and neck cancer: remember the deltopectoral flap.

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“…1 Whereas the main objectives of repair of the anterior table remain largely cosmetic, the preserved function of the nasofrontal duct is important to decrease the long-term risk of mucocele. Although minimally displaced posterior table defects can be safely observed, [2][3][4] comminuted defects have a significant risk of mucocele development from trapped mucosal elements, resulting in significant morbidity. [5][6][7] In addition, comminuted posterior table defects have a significant risk of cerebrospinal fluid (CSF) leak.…”

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confidence: 99%

Endonasal Free Flap Reconstruction Combined With Draf Frontal Sinusotomy for Complex Cerebrospinal Fluid Leak: A Technical Report & Case Series

et al. 2021

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BACKGROUND Frontal sinus cranialization with closure via bifrontal pericranial flaps is the gold standard for separating the nasofrontal recess from the intracranial cavity for posterior table defects. Despite the high success rate, cerebrospinal fluid (CSF) leak may persist and is particularly challenging when vascularized reconstructive options from the bicoronal incision are exhausted. OBJECTIVE To assess a novel endonasal technique using an adipofascial radial forearm free flap delivered to the frontal recess through a Draf sinusotomy to repair complex CSF leaks from the frontal sinus. METHODS A retrospective review of 3 patients (all male; ages 42, 43, and 69 yr) with persistent CSF leak despite frontal sinus cranialization and repair with bifrontal pericranium was performed. Etiology of injury was traumatic in 2 patients and iatrogenic in 1 patient after anaplastic meningioma treatment. To create space for the flap and repair the nasofrontal ducts, endoscopic Draf III (Case 1, 3) or Draf IIb left frontal sinusotomy (Case 2) was performed. The forearm flap was harvested, passed through a Caldwell-Luc exposure, and placed within the Draf frontal sinustomy. The flap vessels were tunneled to the left neck and anastomosed to the facial vessels by the mandibular notch. RESULTS Intraoperatively, the flaps were well-seated and provided a watertight seal. Postoperative hospital courses were uncomplicated. There were no new CSF leaks or flap necrosis at 12, 14, and 16 mo. CONCLUSION Endoscopic endonasal free flap reconstruction through a Draf procedure is a novel viable option for persistent CSF leak after failed frontal sinus cranialization.

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What Is the Role of the Endoscope in the Sinus Preservation Management of Frontal Sinus Fractures?

Cited by 10 publications

References 20 publications

A review of endoscopic surgical applications in oral and maxillofacial surgery

A review of endoscopic surgical applications in oral and maxillofacial surgery

Frontal Sinus Fractures: A Review on Etiology and Management Emphasizing Minimally Invasive and Endoscopic Techniques

Endonasal Free Flap Reconstruction Combined With Draf Frontal Sinusotomy for Complex Cerebrospinal Fluid Leak: A Technical Report & Case Series

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