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Percutaneous transnasal sphenoidotomy with sphenoid window.
R B Towbin1, C M Myer, R F Thompson
1Department of Radiology, Children's Hospital Medical Center, Cincinnati, OH.
AJNR. American Journal of Neuroradiology
|July 1, 1989
Summary
This study details a minimally invasive surgical technique for creating sphenoid windows in children. Percutaneous transnasal sphenoidotomy proved safe and effective, avoiding further surgical intervention.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Endoscopic Sinus Surgery
Background:
- Sphenoid sinus access is crucial for treating various pediatric sinonasal conditions.
- Traditional surgical approaches may involve significant morbidity.
- Minimally invasive techniques offer potential advantages in pediatric patients.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous transnasal sphenoidotomy for creating sphenoid windows in children.
- To assess the feasibility of performing this procedure in a special procedures laboratory setting.
Main Methods:
- Ten percutaneous transnasal sphenoidotomies were performed in nine pediatric patients.
- Procedures utilized biplane fluoroscopic guidance under general anesthesia.
- A 14-gauge antral trocar and Takahashi forceps were employed to create a sphenoid window.
Main Results:
- All ten procedures were successfully completed without any intraoperative or postoperative complications.
- Material was obtained for culture in all cases.
- None of the seven children who underwent sphenoid window creation required further surgical procedures.
Conclusions:
- Percutaneous transnasal sphenoidotomy is a safe and effective method for creating sphenoid windows in children.
- This minimally invasive approach can be performed reliably with fluoroscopic guidance.
- The technique demonstrates a low complication rate and avoids the need for repeat surgeries.