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Carolyn's Window Approach to Unilateral Frontal Sinus Surgery
Kachorn Seresirikachorn1,2,3,4, Andrea Sit1,5, Lu Hui Png1,6
1Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.
Carolyn's window technique offers a novel approach to endoscopic frontal sinus surgery, achieving 100% patency with minimal complications. This method simplifies complex frontal recess dissections using a 0° endoscope.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
Background:
- Traditional Draf 2a frontal sinus surgery presents challenges due to complex anatomy.
- Nasofrontal beak thickness and frontal recess dimensions complicate standard surgical approaches.
Observation:
- Carolyn's window technique utilizes a 0° endoscope to overcome anterior-posterior depth limitations in frontal sinus surgery.
- This approach provides excellent visualization of the frontal sinus and recess.
Findings:
- The study assessed 45 adult patients undergoing frontal sinus dissection via Carolyn's window technique.
- 100% frontal sinus patency was achieved with minimal early postoperative morbidities including adhesion, crusting, pain, and bleeding.
Implications:
- Carolyn's window approach simplifies frontal recess surgery by eliminating anteroposterior diameter limitations.
- This technique facilitates successful frontal sinus patency with low morbidity, offering an advancement in endoscopic sinus surgery.
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