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Anales de Otorrinolaringología Mexicana

2008, Number 2

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Otorrinolaringología 2008; 53 (2)

Endoscopic approaches to frontal recess

Sanjurjo MJL, Morales CM

Language: Spanish
References: 12
Page: 87-90
PDF size: 105.31 Kb.


ABSTRACT

Most patients with frontal sinusitis may be treated with drugs. When ostium stenosis and infection persist, surgery is required. Surgical treatment of this disease keeps evolutioning. All techniques are directed to restaure drainage and ventilation of sinus or to obliterate it. This paper reviews endoscopic and open approaches to frontal recess, emphisizing indications, characteristics and results of each, with attention to tridimensional anatomy of region by audiovisual support. Frontal sinus surgery is one of the most complex in otorhynolaryngology because of the little accesibility and visualization of region. Nowadays, endoscopic transnasal surgery is an alternative and offers advantages compared to conventional techniques. Frontal sinus disease is complex and chronic and only is reduced, but not completely cured by endoscopic procedures. Current treatment must be based on a proper diagnosis followed by an exhaustive medical treatment and to leave surgical procedure as last resource.


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