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Surgical Outcomes Following the Endoscopic Modified Lothrop Procedure
Author(s) -
Shirazi Mobeen A.,
Silver Amanda L.,
Stankiewicz James A.
Publication year - 2007
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/mlg.0b013e3180337d7b
Subject(s) - medicine , surgery , frontal sinus , leak , mucocele , cerebrospinal fluid leak , retrospective cohort study , sinusitis , sinus (botany) , complication , functional endoscopic sinus surgery , cerebrospinal fluid , botany , pathology , environmental engineering , genus , engineering , biology
Objective : We performed a systematic review of 97 patients in whom an entirely endoscopic modified Lothrop procedure (EMLP) was performed. We studied the safety, efficacy, need for revision surgery, and rate of complication following an EMLP. Study Design : The study design was a retrospective chart analysis. Methods : We performed a retrospective chart review and patient survey of 97 patients who underwent an EMLP at our institution from January 1999 to March 2006. Main outcomes measured were the need for revision surgery including an osteoplastic flap (OPF), improvement in patients' symptoms, and rate of cerebrospinal fluid (CSF) leak. Results : The most common indication for the procedure was chronic frontal sinusitis and/or formation of mucocele. The frontal recess and floor of the frontal sinus were the most common areas of persistent disease. CSF leak rate was 1% (1/97) and was managed successfully at the time of surgery without any long‐term sequelae. Twenty‐two (23%) patients required revision surgery. Three (3%) patients required revision with an OPF. Some degree of symptomatic clinical improvement was reported by 98% (95/97) of patients. Conclusion : EMLP is a safe and effective surgical alternative to OPF for patients with recalcitrant frontal sinus disease. Major complications are rare. A large percentage of patients may require revision surgery.