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Full-Text Articles in Medicine and Health Sciences
Efficacy Of Different Techniques Of Sinonasal Irrigation After Modified Lothrop Procedure., A Beule, T Athanasiadis, E Athanasiadis, J Field, Peter-John Wormald
Efficacy Of Different Techniques Of Sinonasal Irrigation After Modified Lothrop Procedure., A Beule, T Athanasiadis, E Athanasiadis, J Field, Peter-John Wormald
Peter-John Wormald
Background: Post-operative irrigation after endoscopic sinus surgery and endoscopic Lothrop procedure is used to remove nasal crusts and to improve wound healing. To evaluate the optimal application protocol for irrigation of the frontal sinus, a prospective cadaver study was performed. Methods: An endoscopic modified Lothrop procedure and complete sphenoethmoidectomy were performed in 19 heads. Each was irrigated with a 1.5% solution of water and different colours using nasal spray and a squeeze bottle filles with 50, 100 and 200 mL. Intensity of local staining and percentage of area were documented using standardized videoendoscopy after irrigation in 'bending over the sink' …
Endoscopic Management Of Frontal Sinus Osteomas Revisited, K Seiberling, S Floreani, S Robinson, Peter-John Wormald
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
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/ …