Abstract
• Revision sphenoid sinus surgery is usually most easily performed after a complete ethmoidectomy.
• The sphenoid sinus natural ostium can typically be found using the superior turbinate as a landmark, even in revision cases.
• Once a decision is made to enlarge the sphenoid sinus ostium, a maximally wide opening will minimize the risk of stenosis.
• Attempts at widening the natural ostium inferiorly and medially do not typically improve the chances of a patent ostium postoperatively and can lead to bleeding and unnecessary mucosal disruption.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
AAO-HNS policy on intra-operative use of computer-aided surgery (2005) [cited 2007]. Available from: http://www.entlink.net/practice/rules/imageguiding.cfm
Bolger WE, Keyes AS, Lanza DC (1999) Use of the superior meatus and superior turbinate in the endoscopic approach to the sphenoid sinus. Otolaryngol Head Neck Surg 120:308–313
Douglas R, Wormald PJ (2006) Pterygopalatine fossa infiltration through the greater palatine foramen: where to bend the needle. Laryngoscope 116:1255–1257
Millar DA, Orlandi RR (2006) The sphenoid sinus natural ostium is consistently medial to the superior turbinate Am J Rhinol 20:180–181
Musy PY, Kountakis SE (2004) Anatomic findings in patients undergoing revision endoscopic sinus surgery Am J Otolaryngol 25:418–422
Orlandi RR, Lanza DC, Bolger WE, et al. (1999) The forgotten turbinate: the role of the superior turbinate in endoscopic sinus surgery Am J Rhinol 13:251–259
Rosen FS, Sinha UK, Rice DH (1999) Endoscopic surgical management of sphenoid sinus disease Laryngoscope 109:1601–1606
Say P, Leopold D, Cochran G, et al. (2004) Resection of the inferior superior turbinate: does it affect olfactory ability or contain olfactory neuronal tissue? Am J Rhinol 18:157–160
Wormald PJ, Athanasiadis T, Rees G, et al. (2005) An evaluation of effect of pterygopalatine fossa injection with local anesthetic and adrenalin in the control of nasal bleeding during endoscopic sinus surgery Am J Rhinol 19:288–292
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Orlandi, R. (2008). Revision Endoscopic Surgery of the Sphenoid Sinus. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_13
Download citation
DOI: https://doi.org/10.1007/978-3-540-78931-4_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78930-7
Online ISBN: 978-3-540-78931-4
eBook Packages: MedicineMedicine (R0)