Anatomic Considerations in Frontal Sinus Surgery - 22/07/16

Doi : 10.1016/j.otc.2016.03.017

Adam J. Folbe, MD ^a,^b,^⁎ , Peter F. Svider, MD ^c, Jean Anderson Eloy, MD ^d,^e,^f,^g
^a Rhinology and Sinus Surgery, Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA
^b Department of Neurosurgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA
^c Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, St. Antoine, Detroit, MI 48201, USA
^d Department of Otolaryngology–Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA
^e Center for Skull Base and Pituitary Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA
^f Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA
^g Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA

^∗Corresponding author. Rhinology and Sinus Surgery, Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MIRhinology and Sinus SurgeryDepartment of Otolaryngology–Head and Neck SurgeryWayne State University School of MedicineDetroitMI

Résumé

Comprehension of the complex anatomic variants comprising the frontal sinus outflow tract is essential for successful surgical intervention. Deviation from sound technique increases the potential for a variety of deleterious sequelae, including recurrent disease as well as catastrophic intracranial and orbital injury. Furthermore, incomplete removal of elements occluding the frontal recess can result in severe stenosis that can increase the difficulty of further interventions. This review covers anatomic considerations that should be kept in mind when performing frontal sinus surgery.

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Keywords : Frontal sinus surgery, Frontal sinus outflow tract, Frontal sinusitis, Agger nasi cell, Endoscopic sinus surgery, Frontal sinusotomy