Endoscopic Approaches to the Frontal Sinus: Modifications of the Existing Techniques and Proposed Classification

Jean Anderson Eloy; Alejandro Vázquez; James K Liu; Soly Baredes

doi:10.1016/j.otc.2016.03.023

Endoscopic Approaches to the Frontal Sinus: Modifications of the Existing Techniques and Proposed Classification

Otolaryngol Clin North Am. 2016 Aug;49(4):1007-18. doi: 10.1016/j.otc.2016.03.023. Epub 2016 Jun 18.

Authors

Jean Anderson Eloy¹, Alejandro Vázquez², James K Liu³, Soly Baredes⁴

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA. Electronic address: jean.anderson.eloy@gmail.com.
² Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
³ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
⁴ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA.

PMID: 27329983
DOI: 10.1016/j.otc.2016.03.023

Abstract

Frontal sinus surgery has long been technically challenging in terms of access and chronic disease management. Decades of experience and advances in technology have led to the widespread use of various surgical approaches to the frontal sinus. Modifications to these existing procedures have been described to minimize unnecessarily invasive approaches. The lack of a classification that incorporates the newly described modifications prompts the proposal of a new classification. Eloy I-III incorporates all the previously described approaches as well as 3 recently published, and 1 newly described, procedures.

Keywords: Endoscopic modified Lothrop procedure; Extended Draf IIB; Frontal sinus; Frontal sinusotomy; Lothrop procedure; Modified hemi-Lothrop procedure; Modified mini-Lothrop procedure; Modified subtotal-Lothrop procedure.

Publication types

Review
Video-Audio Media

MeSH terms

Drainage / methods*
Endoscopy / classification*
Endoscopy / standards*
Frontal Sinus / surgery*
Humans
Nasal Surgical Procedures / methods*