Related Experiment Video
Updated: Jul 15, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Surgical outcomes following the endoscopic modified Lothrop procedure
Mobeen A Shirazi1, Amanda L Silver, James A Stankiewicz
1Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, USA.
The Laryngoscope
|May 3, 2007
Summary
The entirely endoscopic modified Lothrop procedure (EMLP) is a safe and effective treatment for chronic frontal sinusitis. While most patients experience symptom improvement, a significant portion may require revision surgery.
Area of Science:
- Otolaryngology
- Neurosurgery
- Endoscopic Sinus Surgery
Background:
- Recalcitrant frontal sinus disease often necessitates surgical intervention.
- Traditional open procedures can be associated with significant morbidity.
Purpose of the Study:
- To evaluate the safety and efficacy of the entirely endoscopic modified Lothrop procedure (EMLP).
- To assess complication rates, revision surgery rates, and patient outcomes following EMLP.
Main Methods:
- Retrospective chart review and patient survey of 97 patients who underwent EMLP.
- Analysis of indications, surgical outcomes, and need for revision surgery, including osteoplastic flap (OPF).
Main Results:
- The most common indications were chronic frontal sinusitis and mucocele.
- Cerebrospinal fluid (CSF) leak rate was 1%, with successful management.
- 23% of patients required revision surgery, with 3% needing an osteoplastic flap (OPF).
- 98% of patients reported symptomatic improvement.
Conclusions:
- EMLP is a safe and effective endoscopic alternative to OPF for refractory frontal sinus disease.
- Major complications are infrequent, but a notable percentage of patients may require revision surgery.
