Document Detail


Endoscopic modified lothrop procedure: an alternative for frontal osteoma excision.
MedLine Citation:
PMID:  15626259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe three cases of frontal osteoma which were safely removed with a stereotactic-assisted, endoscopic modified Lothrop approach (EMLP). METHOD: Retrospective case review. RESULTS: Three patients presented with extensive frontal sinus osteomas. Two underwent an EMLP and one patient with osteoma extending significantly into the orbit had an EMLP for removal of the medial frontal sinus component combined with an anterior orbitotomy to remove the orbital extension. In all cases stereotactic localization was utilized to ensure preservation of the skull base. Post-operatively, one patient required debridement of oedema at the junction of a lateral mucocele and the frontal sinus. The other two patients remained well post-operatively with no complications. At follow-up, there was no tumour recurrence. CONCLUSION: A stereotactic-assisted, EMLP with or without an orbital approach may be considered for the removal of large frontal osteomas and may provide a less invasive alternative to traditional external approaches.
Authors:
Celia Chen; Dinesh Selva; Peter-John Wormald
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Rhinology     Volume:  42     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-31     Completed Date:  2005-03-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  239-43     Citation Subset:  IM    
Affiliation:
Oculoplastic & Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide University, Adelaide, Australia. celiachen@bigpond.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Endoscopy / methods*
Female
Frontal Bone / surgery*
Humans
Male
Osteoma / surgery*
Skull Neoplasms / surgery*
Stereotaxic Techniques*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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