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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Medical Specialties

2009

Peter-John Wormald

Minitrephination

Articles 1 - 2 of 2

Full-Text Articles in Medicine and Health Sciences

Endoscopic Management Of Frontal Sinus Osteomas Revisited, K Seiberling, S Floreani, S Robinson, Peter-John Wormald Jan 2009

Endoscopic Management Of Frontal Sinus Osteomas Revisited, K Seiberling, S Floreani, S Robinson, Peter-John Wormald

Peter-John Wormald

Background: recent articles have published guidelines regarding the role of endoscopic surgery in the removal of frontal sinus osteomas. These guidelines recommend the endoscopic approach for small ostoemas but recommend an osteoplastic flap for larger tumors. This study presents a series of endoscopically resected tumors both large and small. Methods: retrospective chart reviews were performed. Charts were reviewed of all patients who underwent surgical resection of a frontal sinus osteoma from 1998 to 2008. Sinus CT scans were reviewed and each tumor was staged according to Kennedy's grading system proposed in 2005. Results: Twenty-three patients, 8 with a grade IV …


Minitrephination Of The Frontal Sinus: Indications And Uses In Today's Era Of Sinus Surgery, K Seiberling, C Jardeleza, Peter-John Wormald Dec 2008

Minitrephination Of The Frontal Sinus: Indications And Uses In Today's Era Of Sinus Surgery, K Seiberling, C Jardeleza, Peter-John Wormald

Peter-John Wormald

Background: This study reviews the role of frontal sinus minitrephination in today's era of endoscopic sinus surgery. Retrospective chart review was performed of 163 patients undergoing a total of 149 bilateral and 39 unilateral frontal sinus minitrephinations. Methods: Charts were reviewed for patient demographics and outcomes. Details obtained from the chart included type of surgery performed, reason for minitrephination placement, pathology, Lund score, complications and endoscopic patency. Results: One hundred eighty-eight minitrephines were placed during 80 modified Lothrop and 108 frontal sinusotomies. Trephines were placed where there was dificulty finding the frontal recess, severe edema/ polyps, obstructing frontal cells (type3/ …