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Combined Anterior‐to‐Posterior and Posterior‐to‐Anterior Approach to Paranasal Sinus Surgery: An Update
Author(s) -
Schaefer Steven D.,
Li James C. L.,
Chan Edwin K.,
Wu Zhenqing B.,
Branovan Daniel I.
Publication year - 2006
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 - 10.1097/01.mlg.0000205615.46937.94
Subject(s) - medicine , ethmoidectomy , sinus (botany) , surgery , skull , maxillary sinus , botany , biology , genus
Objectives: To develop an anatomically and functionally based approach to endoscopic intranasal ethmoidectomy; to develop such an approach using the salient features of the anterior‐to‐posterior (AP) and posterior‐to‐anterior (PA) intranasal sinus operations; to assess the safety of this form of ethmoidectomy in a patient population. Study Design: Retrospective chart review of patients undergoing ethmoidectomy by the authors or by residents under their direct supervision. Setting: University teaching hospital. Results: Two thousand three hundred and forty‐four patients underwent either unilateral or bilateral ethmoidectomies between April 1992 and August 2005. A complication rate of 0.34% was observed. Conclusions: Combining an AP approach to conserve sinus anatomy with a PA approach to avoid surgery directed toward the skull base provides a functional and safe procedure, as demonstrated by the reported results.