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Microscopic Sinus Surgery, Transnasal Ethmoidectomy and Sphenoidectomy
Author(s) -
Dixon Hamilton S.
Publication year - 1983
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.1983.93.4.440
Subject(s) - ethmoidectomy , retractor , medicine , surgery , binocular vision , operating microscope , computer science , computer vision , maxillary sinus
Intranasal ethmoid surgery has traditionally been a “blind procedure” using monocular vision, the delicate control of instruments being less than optimal. The addition of the operating microscope with a special self‐retraining retractor speculum is presented in a series of 87 patients over 7 years, 49 of these having had transethmo‐sphenoidectomy. Evaluation, anatomy, technique and results are discussed. Whereas the rate of serious complications is reported at 3% in large series, there were no complications in this series. The results of 181 microscopic antrostomies is also discussed. This technique offers considerable added safety to the patient, more self‐confidence to the surgeon with binocular vision and much better control of instruments, and allows a more adequate procedure because of less fear of dreaded complications.