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"L" shape technique for endoscopic sinus surgery: An alternative method.

Fabio Ferreli1, Giuseppe Mercante1, Armando De Virgilio1

  • 1Department of Otolaryngology - Head and Neck Surgery, Humanitas Clinical and Research Center-IRCCS, Via Alessandro Manzoni, 56, 20089 Rozzano, MI, Italy; Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele, MI, Italy.

American Journal of Otolaryngology
|April 11, 2020
PubMed
Summary

This study introduces a safe and effective L-shape approach for antero-posterior ethmoidectomy during functional endoscopic sinus surgery (FESS). This technique enhances surgical safety and efficiency for chronic rhinosinusitis patients.

Keywords:
Chronic rhinosinusitisEndoscopic sinus surgeryEthmoidEthmoidectomyFESSL-shape approachLamina papyracea

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Area of Science:

  • Otolaryngology
  • Surgical Techniques
  • Endoscopic Sinus Surgery

Background:

  • Ethmoidectomy techniques are varied, with a need for safe and efficient methods.
  • Functional endoscopic sinus surgery (FESS) offers a minimally invasive approach to sinonasal diseases.
  • This paper details a specific L-shape approach for antero-posterior ethmoidectomy.

Discussion:

  • The L-shape approach provides safe exposure of critical structures like the lamina papyracea and skull base.
  • Utilizing backbiting circular and miniature cutting forceps ensures precise dissection.
  • This technique is presented as a multimedia educational tool.

Key Insights:

  • The described L-shape ethmoidectomy technique is safe and efficient in practice.
  • The method ensures reliable exposure of the lamina papyracea and skull base.
  • This approach is effective for chronic rhinosinusitis with or without polyposis.

Outlook:

  • The L-shape ethmoidectomy technique can be integrated into the standard surgical repertoire.
  • Further studies could evaluate long-term outcomes and compare this technique with others.
  • This method serves as a valuable educational resource for endoscopic sinus surgeons.