Document Detail

Intranasal sphenoethmoidectomy: an evolution of technique.
MedLine Citation:
PMID:  7991259     Owner:  NLM     Status:  MEDLINE    
Intranasal sphenoethmoidectomy was originally used primarily for the provision of adequate drainage of acute and subacute bacterial sinusitis. However, the spectrum of inflammatory sinus disease has changed dramatically since the popularization of broad-spectrum antibiotics, and chronic hyperplastic rhinosinusitis has replaced acute sinusitis as the primary indication for ethmoidectomy. In such cases total or almost total disease removal is crucial to providing long-term drainage and ventilation. We describe several modifications of the Yankauer sphenoethmoidectomy technique that enable the sinus surgeon to provide clearance of disease and excellent drainage for all sinuses by complete marsupialization of the sphenoid, ethmoid, and maxillary sinuses. These modifications include (1) complete rather than partial removal of the middle turbinate, (2) extended middle meatal antrostomy with palatine bone resection to the pterygoid process with delineation of the inferior and medial orbital wall, and (3) introduction of operative endoscopes as adjunctive tools in areas inaccessible to conventional visualization. The current technique and results in nearly 2000 procedures are described.
G P Katsantonis; W H Friedman; M Bruns
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  111     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-01-12     Completed Date:  1995-01-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  781-6     Citation Subset:  IM    
Park Central Institute, St. Louis, MO 63139.
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MeSH Terms
Chronic Disease
Ethmoid Sinus / surgery*
Follow-Up Studies
Maxillary Sinus / surgery*
Nasal Polyps / surgery
Nasal Septum / surgery
Nose / surgery*
Orbit / surgery
Palate / surgery
Postoperative Complications
Rhinitis / surgery*
Sinusitis / surgery*
Sphenoid Bone / surgery
Sphenoid Sinus / surgery*
Turbinates / surgery

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

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