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Updated: Aug 17, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Minimally invasive surgery for treating of complicated fronto-ethmoidal sinusitis]
P Pomar Blanco1, C Martín Villares, J San Román Carbajo
1Servicio de ORL, Hospital del Bierzo, Ponferrada, León. pilipomar@hotmail.com
Objectives:
Functional endoscopic sinus surgery (FESS) is nowadays the "gold standard" for frontal sinus pathologies, but management of acute situations and the aproach and/or the extent of the surgery perfomed in the frontal recess remains controversial nowadays.
Material And Methods:
We report our experience in 4 patients with orbital celulitis due to frontal sinusitis who underwent combined external surgery (mini-trephination) and endoscopic sinus surgery.
Results:
All patients managed sinus patency without any complications.
Conclusions:
We found this combined sinusotomy as an easy, effective and reproductible technique in order to resolve the difficult surgical management of complicated frontal sinusitis.

