Background: Several techniques for performing the sphenoethmoidectomy have been described. We present a safe, effective, and efficient technique.
Objective: We present text, images, and video to demonstrate our preferred technique for performing a sphenoethmoidectomy.
Methods: A description of the technique without prospective or retrospective data, whereby a Kerrison rongeur and microdebrider were used to perform a total sphenoethmoidectomy by skeletonizing the skull base and lamina papyracea.
Results: In our hands, the Kerrison rongeur and microdebrider allowed for a reliably safe and efficient sphenoethmoidectomy for chronic sinusitis with or without polyposis or skull base approaches.
Conclusion: The technique described can be added to the armamentarium of the endoscopic sinus surgeon.