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Endoscopic Modified Lothrop Approach (Outside-In Technique)

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Frontal Sinus Surgery

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Abstract

The modified endoscopic Lothrop procedure, Draf III, or common frontal sinusotomy is an important surgical approach with a variety of clinical indications. The most common application for the procedure is in the management of chronic inflammatory sinus disease, but many primary pathologies of the frontal sinus can be addressed using the approach. Additionally, the Draf III is an important surgical adjunct to anterior ventral skull base resections and reconstruction. Modifications to the technique include the outside-in approach, and newer instrumentation increases surgical efficiency in creating a functional common cavity that provides improved topical and surgical access to the frontal sinus.

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Author information

Authors and Affiliations

  1. Division of Rhinology and Skull Base Surgery, Department of Otolaryngology – Head and Neck Surgery, St Vincent’s Hospital, Sydney, NSW, Australia

    E. Ritter Sansoni

  2. Rhinology and Skull Base, Applied Medical Research Centre, UNSW, Sydney, NSW, Australia

    Richard J. Harvey

  3. Faculty of Medicine and Health Sciences, Macquarie University, Sydney, NSW, Australia

    Richard J. Harvey

  4. Department of Otolaryngology, Macquarie University, Sydney, NSW, Australia

    Raymond Sacks

  5. The University of Sydney, Sydney, NSW, Australia

    Raymond Sacks

Authors
  1. E. Ritter Sansoni
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  2. Richard J. Harvey
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  3. Raymond Sacks
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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

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Ritter Sansoni, E., Harvey, R.J., Sacks, R. (2019). Endoscopic Modified Lothrop Approach (Outside-In Technique). In: Lal, D., Hwang, P. (eds) Frontal Sinus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-97022-6_7

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  • DOI: https://doi.org/10.1007/978-3-319-97022-6_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97021-9

  • Online ISBN: 978-3-319-97022-6

  • eBook Packages: MedicineMedicine (R0)

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