Combined anterior-to-posterior and posterior-to-anterior approach to paranasal sinus surgery: an update

Laryngoscope. 2006 Apr;116(4):509-13. doi: 10.1097/01.MLG.0000205615.46937.94.

Abstract

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.

Publication types

  • Comparative Study

MeSH terms

  • Endoscopy*
  • Follow-Up Studies
  • Humans
  • Otorhinolaryngologic Surgical Procedures / methods*
  • Paranasal Sinus Diseases / diagnostic imaging
  • Paranasal Sinus Diseases / pathology
  • Paranasal Sinus Diseases / surgery*
  • Paranasal Sinuses* / diagnostic imaging
  • Paranasal Sinuses* / pathology
  • Paranasal Sinuses* / surgery
  • Radiography
  • Retrospective Studies
  • Treatment Outcome