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Published on: May 23, 2021
[Four hands surgery in endoscopic sinus surgery--our experience].
Witold Szyfter1, Łukasz Borucki, Maciej Wróbel
1Katedra i Klinika Otolaryngologii i Onkologii Laryngologicznej UM w Poznaniu.
Otolaryngologia Polska = the Polish Otolaryngology
|July 22, 2008
Summary
Endoscopic sinus surgery, a gold standard for chronic sinusitis, now effectively treats nasal and paranasal sinus tumors. The four-hands technique enhances this minimally invasive approach for complex cases.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Minimally Invasive Surgery
Context:
- Endoscopic sinus surgery (ESS) evolved from treating chronic sinusitis to addressing sinonasal tumors.
- Traditional open approaches for sinonasal tumors are being replaced by ESS.
- The four-hands technique emerged to manage the increased complexity and bleeding associated with ESS for tumors.
Purpose:
- To describe the surgical technique of the four-hands endoscopic sinus surgery.
- To present the authors' experience with the four-hands technique in treating sinonasal tumors and chronic sinusitis.
- To evaluate the feasibility and outcomes of this advanced ESS approach.
Summary:
- The four-hands technique involves two surgeons performing endoscopic sinus surgery.
- This technique was applied to 24 patients: 12 with sinonasal tumors and 12 with chronic sinusitis.
- The paper details the surgical methodology and initial outcomes based on these cases.
Impact:
- The four-hands technique offers a viable alternative for complex sinonasal pathologies.
- This approach potentially improves surgical control and efficiency in endoscopic procedures.
- Highlights the advancement of endoscopic techniques in treating both benign and malignant sinonasal diseases.
