Endoscopic Approaches to the Frontal Sinus
Key points • The modified hemi-Lothrop procedure (Eloy IIC) involves an ipsilateral Draf IIB and an anterosuperior septectomy window for access to the lateral recess of the ipsilateral frontal sinus…
Preventing and Managing Complications in Frontal Sinus Surgery
Key points • Preoperative management encompasses appropriate patient selection. With a few exceptions, patients undergoing surgical interventions for frontal sinusitis should have exhausted medical management options. • The preoperative assessment…
Balloon Catheter Dilation of the Frontal Sinus Ostium
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….
Instrumentation in Frontal Sinus Surgery
Key points • Sinus surgery failure occurs most commonly in the frontal recess and is largely attributable to surgical technique. • Image guidance is an extremely helpful adjunct to complete…
Anatomic Considerations in Frontal Sinus Surgery
Key points • The three-dimensional anatomy of the frontal sinus and its outflow tract is complex and demonstrates a great degree of variability among patients. Consequently, careful examination of preoperative…
Medical Management of Frontal Sinusitis
Key points • Frontal sinusitis is a diverse entity that requires identification of the unique disease process to implement appropriate treatment. • Isolated acute bacterial frontal sinusitis occurs primarily in…
Evaluation and Decision Making in Frontal Sinus Surgery
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…
Overview of Frontal Sinus Pathology and Management
Key points • The frontal sinus is the most anatomically complex of the paranasal sinuses and subject to a great degree of anatomic variations, enough variations, in fact, that they…
Size as a Risk Factor for Growth in Conservatively Managed Vestibular Schwannomas
This article discusses conservatively managed tumors, whether larger tumors at presentation are more likely to grow, and whether position at presentation corresponds with growth. A review is presented of more…
