Preoperative Assessment of Risk Factors
Hemostasis is essential during endoscopic sinus and skull base surgery. Patients must be adequately assessed for bleeding risk to appropriately consent to surgery. The patient and the surgeon must be…
OTOLARYNGOLOGY
Hemostasis in Otolaryngology—Head and Neck Surgery
Harshita Pant, BMBS, PhD, Editor Carl H. Snyderman, MD, MBA, Editor The only weapon with which the unconscious patient can immediately retaliate upon the incompetent surgeon is haemorrhage. This issue…
Open Frontal Sinus Surgery
In this article, the historical context and current application of external frontal sinus procedures are discussed. In particular, the frontal trephine, frontoethmoidectomy, and osteoplastic flap are described. Key points •…
Management of Frontal Sinus Tumors
The most common primary tumors of the frontal sinus are osteomas and inverted papillomas, although a variety of other tumors involving this space have been reported. With the advent of…
Standard Endoscopic Approaches in Frontal Sinus Surgery
The mainstay of frontal sinus surgery for chronic rhinosinusitis is to achieve and maintain an adequate frontal outflow tract. Using a stepwise approach and identifying critical endoscopic anatomic landmarks, to…
Outcomes After Frontal Sinus Surgery
Endoscopic sinus surgery is an effective intervention at improving quality of life for patients with medically refractory chronic rhinosinusitis. The evidence supporting frontal sinusotomy is limited to single institution case…
Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles
Encephaloceles and cerebrospinal fluid (CSF) leaks of the frontal sinus may result from congenital, traumatic, spontaneous, or neoplastic causes. Paramount to success is adequate preoperative planning with accurate history, physical…
Utility of Image-Guidance in Frontal Sinus Surgery
Key points • Image guidance is a surgical tool that is widely accepted by endoscopic surgeons and used in most frontal sinus surgeries. • The use of image guidance can…
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…
