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- Title
Modified Endoscopic Lothrop as a Salvage for the Failed Osteoplastic Flap with Obliteration.
- Authors
Peter John Wormald; Arjuna Ananda; Salil Nair
- Abstract
SUMMARY: OBJECTIVE To evaluate the effectiveness of the modified endoscopic Lothrop (MEL) procedure for the management of failed osteoplastic flap (OPF) with obliteration of the frontal sinuses.SETTING Adelaide University Academic Hospital Complex.STUDY TYPE Prospective case study of 16 patients presenting with symptoms after OPF with obliteration of the frontal sinuses.MATERIALS AND METHODS Sixteen patients presented with symptoms of frontal sinus pain after having previously undergone OPF and fat obliteration of the frontal sinuses. All patients underwent computed tomography scanning; 13 underwent magnetic resonance imaging scanning, and 6 underwent a bone scan with technetium to exclude frontal osteitis. All patients underwent exploration of the frontal sinuses by way of the MEL procedure.RESULTS Fifteen patients were found to have a frontal sinus mucocele, whereas one patient had no mucocele with only new bone and fibrous tissue found at the MEL procedure. Twelve of the 16 patients with mucoceles had resolution of their frontal headaches, with 15 having a patent and healthy communication between the mucocele and the nasal cavity. The one patient without a mucocele continues to have frontal pain. One patient underwent a successful MEL procedure but had persistent symptoms until a supraorbital ethmoid mucocele was removed at a revision procedure. Two other patients continued to have frontal headaches and pain despite a healthy ostium into the frontal sinus mucocele.CONCLUSIONS MEL is a viable alternative to revision OPF for symptomatic patients who are shown to have a mucocele of the frontal sinuses.
- Subjects
FRONTAL sinus; ENDOSCOPY; MUSCLES; HOSPITALS
- Publication
Laryngoscope, 2003, Vol 113, Issue 11, p1988
- ISSN
0023-852X
- Publication type
Article