Advertisement

Topics

Surgical management of osteomas of the frontal recess and sinus: extending the limits of the endoscopic approach.

Summary of "Surgical management of osteomas of the frontal recess and sinus: extending the limits of the endoscopic approach."

Osteomas are among the most common benign tumors of the paranasal sinuses. Symptomatic osteomas are most often found in the frontal recess and the frontal sinus. While the extranasal approach is still a part of the treatment concept for removing osteomas at this localization, over the last years the endoscopically controlled endonasal approach has greatly gained in importance due to the improved surgical equipment. We retrospectively analyzed the surgical indication, surgical approach and outcome of the removal of osteomas of the frontal recess and the frontal sinus performed at our hospital between 1996 and 2010. The exact surgical technique, intra- and postoperative complications, the duration of the hospital stay and the follow-up and subjective contentment of the patients were evaluated. With a total of 24 patients being included, the study comprises one of the largest groups of patients with osteomas of the frontal recess and sinus. Over the study period, the frequency of the endoscopic approach clearly increased. Previously suggested guidelines for the endoscopic resection of a frontal sinus osteoma turned out to be superseded. Endoscopically controlled resection even of large, adversely located osteomas of the frontal recess and the frontal sinus is becoming increasingly possible, but is still naturally limited by the individual anatomic conditions and the need for experienced surgeons.

Affiliation

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians-University Munich, Marchioninistr. 15, 81377, Munich, Germany, johannes_georg.ledderose@med.uni-muenchen.de.

Journal Details

This article was published in the following journal.

Name: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (
ISSN: 1434-4726
Pages:

Links

DeepDyve research library

PubMed Articles [15519 Associated PubMed Articles listed on BioPortfolio]

The International Classification of the radiological Complexity (ICC) of frontal recess and frontal sinus.

The frontal sinus is considered the most challenging sinus to address surgically. There are no current classifications of the degree of surgical complexity of different frontal sinus configurations. T...

Correlation of frontal sinus recess anatomy with ethnicity, gender, and pathology.

Research on frontal sinus cells has been conflicting regarding relationship between frontal sinus cells and frontal sinus disease. There are no published studies regarding gender differences in fronta...

Evaluation of a Steroid Releasing Sinus Implant for the Treatment of Patients Undergoing Frontal Sinus Surgery for Chronic Rhinosinusitis.

Management of the frontal sinus places great demands on the otolaryngologist. Given that the fronto-ethmoidal region is susceptible to recurrent inflammation, scarring, and stenosis, maintaining long-...

Current opinion in otolaryngology and head and neck surgery: frontal sinus fractures.

The purpose of this manuscript is to review the current literature regarding the management of frontal sinus fractures and offer the authors opinion on the current management of these traumatic injuri...

Combined endonasal and eyelid approach for management of extensive frontal sinus inverting papilloma.

Sinonasal inverting papilloma (IP) is a benign but locally aggressive mucosal neoplasm with a high recurrence rate. Extension into the frontal sinus presents surgical challenges for endonasal resectio...

Clinical Trials [4849 Associated Clinical Trials listed on BioPortfolio]

Steroid Delivery to the Frontal Sinus Opening With a Bioabsorbable Implant vs. a Bioabsorbable Nasal Dressing

The purpose of this study is to compare how two different post-surgical treatments that both deliver steroids to the frontal sinus opening affect your healing after frontal sinus surgery.

(PROGRESS) Safety and Efficacy of the Propel Mini Steroid-Eluting Sinus Implant in Frontal Sinus

The objective of the PROGRESS Study is to assess the safety and efficacy of the Propel Mini steroid-eluting Sinus Implant when placed in the frontal sinus opening following frontal sinus s...

Comparative Effectiveness of MRgFUS Versus CTgRFA for Osteoid Osteomas

Osteoid osteomas are painful, benign bone tumors that occur most frequently in young males between ages 10 and 20 years. The goal of the proposed study is based on the premise that MRgFUS ...

Effects of Recess Timing and Activity on Children's Eating Behaviors

This study aims to understand the interaction between school recess activity and duration and lunch choices among elementary school children

Study on Surgical Treatment of Pilonidal Sinus Disease

Comparison of limited excision-primary closure, Limberg, and modified Limberg flap techniques for the surgical treatment of pilonidal sinus disease, each performed by a separate surgeon, i...

Medical and Biotech [MESH] Definitions

Air-filled spaces located within the bones around the NASAL CAVITY. They are extensions of the nasal cavity and lined by the ciliated NASAL MUCOSA. Each sinus is named for the cranial bone in which it is located, such as the ETHMOID SINUS; the FRONTAL SINUS; the MAXILLARY SINUS; and the SPHENOID SINUS.

One of the paired, but seldom symmetrical, air spaces located between the inner and outer compact layers of the FRONTAL BONE in the forehead.

Inflammation of the NASAL MUCOSA in the FRONTAL SINUS. In many cases, it is caused by an infection of the bacteria STREPTOCOCCUS PNEUMONIAE or HAEMOPHILUS INFLUENZAE.

A recess on each side in the wall of the HYPOPHARYNX.

An intracranial or rarely intraspinal suppurative process invading the space between the inner surface of the DURA MATER and the outer surface of the ARACHNOID. Bacteria and other pathogenic organisms may gain entrance to the subdural space from the FRONTAL SINUS; ETHMOID SINUS; middle ear (EAR, MIDDLE); MASTOID; or as the result of CRANIOCEREBRAL TRAUMA or NEUROSURGICAL PROCEDURES. This condition may be associated with intracranial sinus thrombosis (SINUS THROMBOSIS, INTRACRANIAL). Circumscribed collections of purulent material in the subdural space are referred to as subdural abscesses. (From Adams et al., Principles of Neurology, 6th ed, p709)

Quick Search
Advertisement
 


DeepDyve research library

Searches Linking to this Article