Frontal sinus disease: contemporary management
Gespeichert in:
| Weitere Verfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
[2016]
|
| Schriftenreihe: | Otolaryngologic clinics of North America
volume 49, number 4 (August 2016) |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xvi Seiten, Seite 899-1095 Illustrationen |
| ISBN: | 9780323446242 |
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| 245 | 1 | 0 | |a Frontal sinus disease |b contemporary management |c editors Jean Anderson Eloy, Michael Setzen |
| 264 | 1 | |a Philadelphia, Pennsylvania |b Elsevier |c [2016] | |
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Datensatz im Suchindex
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| adam_text | Titel: Frontal sinus disease
Autor: Eloy, Jean Anderson
Jahr: 2016
Frontal Sinus Disease: Contemporary Management
Contents
Preface: Frontal Sinus Disease: Contemporary Management xv
Jean Anderson Eloy and Michael Setzen
Overview of Frontal Sinus Pathology and Management 899
Alejandro Vazquez, Soly Baredes, Michael Setzen, and Jean Anderson Eloy
The frontal sinus is the most complex of all paranasal sinuses. Given its
proximity to the cranial vault and orbit, frontal sinus pathology can progress
to involve these structures and lead to significant morbidity, or even mortal-
ity. Surgical management of the frontal sinus is technically challenging.
Various open and endoscopic surgical techniques are available to the
otolaryngologist. This article presents an overview of the major disease
entities that affect the frontal sinus, with a special emphasis on treatment
principles and surgical management.
Evaluation and Decision Making in Frontal Sinus Surgery 911
Alok T. Saini and Satish Govindaraj
Management of frontal sinusitis can be challenging for even the most
experienced otolaryngologists. A thorough understanding of the anatomy
and pathophysiology of the frontal sinus is essential to properly manage
disease affecting the frontal sinus. Being able to distinguish acute viral
from acute bacterial and acute from chronic sinusitis is crucial because
these distinctions guide appropriate management. Nasal endoscopy can
confirm diagnosis, and radiologic imaging, including computed tomogra-
phy and MRI, is often a necessary adjunct that aids in determining appro-
priate therapeutic decisions. One must be aware of the many procedures
used in the surgical treatment of frontal sinusitis.
Medical Management of Frontal Sinusitis 927
Maheep Sohal, Belachew Tessema, and Seth M. Brown
Rhinosinusitis is a term that has long been used to describe a diverse
disease entity that encompasses several related but distinct conditions
involving the paranasal sinuses. Frontal sinusitis represents one such
entity with its own unique treatment considerations. Like rhinosinusitis
as a whole, the role of medical management in the treatment of frontal
sinusitis cannot be overlooked. Contemporary medical management of
frontal sinusitis requires recognition of the unique disease process with
implementation of targeted therapies aimed at addressing the specific
pathophysiology.
Anatomic Considerations in Frontal Sinus Surgery 935
Adam J. Folbe, Peter F. Svider, and Jean Anderson Eloy
Comprehension of the complex anatomic variants comprising the frontal
sinus outflow tract is essential for successful surgical intervention.
x Contents
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 ele-
ments 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.
Instrumentation in Frontal Sinus Surgery 945
Bobby A. Tajudeen and Nithin D. Adappa
Frontal recess dissection proposes many challenges to the surgeon.
These challenges stem from its highly variable nature, small caliber, diffi-
cult visualization, and proximity to vital structures such as the skull base
and orbit. As such, delicate mucosal-sparing dissection of the frontal
recess with proper instrumentation is paramount to minimize scar forma-
tion and ensure patency. Here, the article explores key instrumentation
in frontal recess surgery with an emphasis on hand instruments and
adjunctive technologies.
Preventing and Managing Complications in Frontal Sinus Surgery 951
Jean Anderson Eloy, Peter F. Svider, and Michael Setzen
This review covers potential complications of frontal sinus surgical
management and strategies for prevention of these complications. Accord-
ingly, recent advances in frontal sinus surgical techniques are described,
and the management of complications stemming both from these and
traditional techniques are detailed.
Balloon Catheter Dilation of the Frontal Sinus Ostium 965
Michael J. Sillers and Kristopher F. Lay
The decision to operate on the frontal sinus is based on persistent
symptoms that have been refractory to appropriate medical therapy with
associated radiographic evidence of disease by computed tomography.
There is currently no evidence to support operating on radiographically
negative frontal sinuses, regardless of the availability of technology or
site of service options. There are many surgical procedures as well as a
variety of different technologies available for the treatment of symptom-
atic, medically refractory frontal sinus disease. Balloon catheter dilation
can be performed safely in an office setting with outcomes comparable
to those in traditional operating room settings.
Utility of Image-Guidance in Frontal Sinus Surgery 975
Gretchen M. Oakley, Henry P. Barham, and Richard J. Harvey
The frontal sinus can present a challenging surgical dissection for the
endoscopic surgeon. Image guidance as a surgical adjunct has become
widely accepted for surgeries in this area. It can help verify vital structures
and manage disorienting surgical conditions, improving surgeon confi-
dence in performing safer and more complete surgery. It is relied upon
heavily for placement of limited external frontal sinusotomies for disease
Contents xi
beyond the endoscopic reach, and for mapping the frontal sinus for oste-
oplastic flap bony cuts. Its use has contributed to the expanding role of
endoscopic surgical approaches for paranasal sinus inflammatory and
neoplastic disease.
Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls
and Approach Selection 989
Zeina R. Korban and Roy R. Casiano
Video content accompanies this article at http://www.oto.
theclinics.com.
The mainstay of frontal sinus surgery for chronic rhinosinusitis is to achieve
and maintain an adequate frontal outflow tract. Using a stepwise approach
and identifying critical endoscopic anatomic landmarks, to minimize com-
plications and obtain long-term good endoscopic surgical results, should
achieve this. The goal is to relieve the patient s symptoms, restore func-
tional mucociliary flow, achieve a wide frontal sinus ostium, and prevent
long-term scarring and stenosis. Meticulous dissection and appropriate
use of instrumentation and techniques aids in preventing unnecessary
damage to normal mucosa while achieving one s goal of an adequate sur-
gical ostium.
Endoscopic Approaches to the Frontal Sinus: Modifications of the Existing
Techniques and Proposed Classification 1007
Jean Anderson Eloy, Alejandro Vazquez, James K. Liu, and Soly Baredes
Video content accompanies this article at http://www.oto.
thedinics.com.
Frontal sinus surgery has long been technically challenging in terms of
access and chronic disease management. Decades of experience and
advances in technology have led to the widespread use of various surgical
approaches to the frontal sinus. Modifications to these existing pro-
cedures have been described to minimize unnecessarily invasive ap-
proaches. The lack of a classification that incorporates the newly
described modifications prompts the proposal of a new classification.
Eloy l-lll incorporates all the previously described approaches as well as
3 recently published, and 1 newly described, procedures.
Outcomes After Frontal Sinus Surgery: An Evidence-Based Review 1019
Adam S. DeConde and Timothy L. Smith
Endoscopic sinus surgery is an effective intervention at improving quality
of life for patients with medically refractory chronic rhinosinusitis. The
evidence supporting frontal sinusotomy is limited to single institution
case series. However, the data for Draf ila frontal sinusotomy do demon-
strate that most patients experience lasting frontal sinus patency on post-
operative endoscopic examination and improvements in quality of life.
Salvage endoscopic frontal sinus surgery via a Draf III shows high rates
of neo-ostium patency and subjective improvements in symptoms at a
2-year time point in case series.
xii Contents
Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles 1035
Elisa A. Illing and Bradford A. Woodworth
Video content accompanies this article at http://www.oto.
theclinics.com.
Encephaloceles and cerebrospinal fluid (CSF) leaks of the frontal sinus
may result from congenital, traumatic, spontaneous, or neoplastic causes.
Paramount to success is adequate preoperative planning with accurate
history, physical exam, endoscopy, imaging, and testing to confirm
location of the leak and origin of the disease. Generally, frontal sinus
CSF leaks may be addressed endoscopically with favorable anatomy,
proper surgical technique, and appropriate equipment. Open surgical
approaches (eg, osteoplastic flap) are often required for superior/lateral
defects or if the surgeon is not experienced with endoscopic frontal sinus
techniques.
Management of Frontal Sinus Tumors 1051
Anne Morgan Selleck, Dipan Desai, Brian D. Thorp, Charles S. Ebert, and
Adam M. Zanation
The most common primary tumors of the frontal sinus are osteomas and
inverted papillomas, although a variety of other tumors involving this space
have been reported. With the advent of new surgical techniques and
instrumentation, an endoscopic approach to this region has become
feasible. The preoperative assessment and decision making must take
into account the complexity of frontal sinus anatomy, tumor type, tumor
location, and associated attachments. These procedures allow adequate
visualization, tumor removal, and postoperative monitoring, and preserve
fairly normal sinus function. Open techniques may also be required and
should be in the surgeon s armamentarium.
Open Frontal Sinus Surgery: A Lost Art 1067
William Lawson and Yan Ho
In this article, the historical context and current application of external
frontal sinus procedures are discussed. In particular, the frontal trephine,
frontoethmoidectomy, and osteoplastic flap are described.
Index 1091
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