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Frontal Sinus Surgery: Selection of Technique

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Frontal Sinus Surgery

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Abstract

The selection of the surgical approach to the frontal sinus should be personalized. The selected technique should be tailored to address the disease effectively while minimizing the risks of complications and postoperative sequelae. Factors that determine the choice of approach include the location, extent, and pathology of the disease, the variants of frontal sinus anatomy, the surgeon’s level of expertise, and the availability of frontal-specific instrumentation. These determinants have been discussed in previous chapters. In the modern era, endoscopic techniques have supplanted most external techniques. However, external techniques remain relevant and at times invaluable for specific pathologies. Additionally, the supplementary use of certain external techniques such as the frontal trephination may facilitate effective, safe, and efficient endoscopic surgery. In the contemporary era, a function-restoring philosophy (“functional external sinus surgery”) can be applied to many patients that historically might have been obliterated. Obliteration and cranialization of the frontal sinus remain useful techniques but are usually necessary only for rare indications.

This concluding chapter will detail the editors’ philosophical approach to the selection of technique for frontal sinus surgery. This chapter will highlight anatomical and pathological considerations that dictate choices using illustrative cases and videos.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Mayo Clinic College of Medicine and Science, Mayo Clinic, Phoenix, AZ, USA

    Devyani Lal

  2. Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Peter H. Hwang

Authors
  1. Devyani Lal
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  2. Peter H. Hwang
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Editor information

Editors and Affiliations

  1. Prof of Otolaryngology, Mayo Clinic College of Medicine and Science, Associate Dean, Mayo Clinic School of Continuous Professional Development, Consultant, Dept of Otolaryngology-Head and Neck Surgery, Consultant (Joint), Dept of Neurological Surgery, Mayo Clinic, Phoenix, AZ, USA

    Devyani Lal

  2. Professor and Chief, Division of Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology – Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Peter H. Hwang

Electronic Supplementary Material

Draf IIB procedure for severe inflammation, friable mucosa, osteitis with stenting (WMV 20787 kb)

Draf IIB for lateralized right middle turbinate stub (WMV 67842 kb)

Draf III (primary) for neo-osteogenesis in a patient with extensive neo-osteogenesis of the frontal recess (MPG 149120 kb)

Allergic fungal sinusitis months post-op after a Draf IIA procedure (WMV 3661 kb)

Draf IIB for inverted papilloma of the right frontal sinus (WMV 80854 kb)

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Lal, D., Hwang, P.H. (2019). Frontal Sinus Surgery: Selection of Technique. In: Lal, D., Hwang, P. (eds) Frontal Sinus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-97022-6_30

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  • DOI: https://doi.org/10.1007/978-3-319-97022-6_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97021-9

  • Online ISBN: 978-3-319-97022-6

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