How I Do It: The Sphenoethmoidectomy

Several techniques for performing the sphenoethmoidectomy have been described. We present a safe, effective, and efficient technique.

We present text, images, and video to demonstrate our preferred technique for performing a sphenoethmoidectomy.

A description of the technique without prospective or retrospective data, whereby a Kerrison rongeur and microdebrider were used to perform a total sphenoethmoidectomy by skeletonizing the skull base and lamina papyracea.

In our hands, the Kerrison rongeur and microdebrider allowed for a reliably safe and efficient sphenoethmoidectomy for chronic sinusitis with or without polyposis or skull base approaches.

The technique described can be added to the armamentarium of the endoscopic sinus surgeon.