Hostname: page-component-848d4c4894-8bljj Total loading time: 0 Render date: 2024-06-23T11:49:07.905Z Has data issue: false hasContentIssue false
  • English
  • Français

Combined approach intranasal endoscopic and external Lothrop procedure in chronic frontal sinus disease

Published online by Cambridge University Press:  29 June 2007

H. R. Sharp ,
P.D.R. Spraggs  and
I. S. Mackay
H. R. Sharp*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
P.D.R. Spraggs
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
I. S. Mackay
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
*
Address for correspondence: Mr Henry Sharp F.R.C.S., Department of Otorhinolaryngotagyand Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London W6 8RF. Fax: 0181 846 1070
Get access Rights & Permissions [Opens in a new window]

Abstract

The endoscopic approach to the fronto-ethmoidal recess (FER) in the treatment of chronic frontal sinus disease is now widely accepted. The Lothrop procedure was first described in 1914, but was largely replaced with more invasive open frontal sinus proceduresuntil the advent of the rigid Hopkins' rod, since when it has enjoyed enewed popularity.

We describe a modification of this technique which allows both transnasal endoscopic and external direct visualization of the FER and frontal sinus and a direct approach to the anterior buttress (or “nasofrontal beak”) which allows its quick and simple removal.

Keywords

EndoscopySurgeryFrontal sinusitis
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 635 - 637
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Draf, W. (1991) Endonasal microendoscopic frontal sinus surgery: The Fulda concept. Operative Techniques in Otolaryngology-Head and Neck Surgery 2: 234–240.CrossRefGoogle Scholar
Gross, C. W., Gross, W. E., Becker, D. G. (1995a) Modified transnasal endoscopic Lothrop procedure: Frontal drillout. Operative Techniques in Otolaryngology-Head and Neck Surgery 3: 193–200.CrossRefGoogle Scholar
Gross, W. E., Gross, C. W., Becker, D. G., Moore, D., Phillips, D. (1995b) Modifiedtransnasal endoscopic Lothrop procedure as an alternative to frontal sinus obliteration. Otolaryngology-Head and Neck Surgery 4: 427–434.CrossRefGoogle Scholar
Kennedy, D. W., Josephson, J. S., Zinreich, S. J., Mattox, D. E., Goldsmith, M. M. (1989) Endoscopic sinus surgery for mucoceles: a viable alternative. Laryngoscope 99: 885–895.CrossRefGoogle ScholarPubMed
Kuhn, F. A. (1996) Chronic frontal sinusitis: The endoscopic frontal recess approach. Operative Techniquesin Otolaryngology-Head and Neck Surgery 3: 222–229.CrossRefGoogle Scholar
Lothrop, H. A. (1914) Frontal sinus supporation. Annals of Surgery 59: 937–957.CrossRefGoogle Scholar
May, M. (1991) Frontal sinus surgery: Endonasal endoscopic osteoplasty rather than external osteoplasty. Operative Techniques in Otolaryngology-Head and Neck Surgery 2: 247–256.CrossRefGoogle Scholar
Rice, D. H. (1993) Chronic frontal sinus disease. Otolaryngologic Clinics of North America 26:619–622.CrossRefGoogle ScholarPubMed
Wigand, M., Hoseman, W. (1991) Endoscopic surgery for frontal sinusitis and its complications. American Journal of Rhinology 5: 85–89.CrossRefGoogle Scholar