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Published on: January 22, 2010
Modified hemi-Lothrop procedure for supraorbital ethmoid lesion access.
Mark E Friedel1, Shawn Li, Paul D Langer
1Department of Otolaryngology-Head and Neck Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07103, USA.
The Laryngoscope
|January 19, 2012
Summary
Supraorbital ethmoid (SOE) mucoceles, often treated externally, can now be managed endoscopically. A modified hemi-Lothrop procedure (MHLP) offers improved visualization and instrumentation for these challenging lesions.
Area of Science:
- Otolaryngology
- Neurosurgery
- Endoscopic sinus surgery
Background:
- The supraorbital ethmoid (SOE) cell is an anatomical variant.
- Obstruction of the SOE cell outflow pathway can lead to mucocele formation.
- SOE mucoceles are typically located laterally, posing surgical challenges.
Observation:
- A large supraorbital ethmoid mucocele was successfully treated.
- The treatment utilized a novel modified hemi-Lothrop procedure (MHLP).
Findings:
- The MHLP technique allows for an angulated surgical approach.
- This approach enhances lateral visualization and enables bimanual, binostril instrumentation.
- A superior septectomy window facilitates access for the MHLP.
Implications:
- The MHLP offers a minimally invasive endoscopic alternative to external approaches for SOE mucoceles.
- This technique may improve surgical outcomes and reduce patient morbidity.
- Further research should explore the broader application of MHLP in treating complex sinonasal pathologies.
