Endoscopic Modified Lothrop Procedure for Refractory Frontal Sinus Disease: Indications, Surgical Technique, Outcomes, and Complications

Authors

  • Adly Ahmed Tantawy, Magdy Ibrahim Gouda, Isamel Sedik Elnashar, Mohamed Abdelrahman Fatouha Author

DOI:

https://doi.org/10.48047/ysay1m08

Keywords:

Draf III; modified Lothrop procedure; frontal sinusotomy; chronic frontal rhinosinusitis

Abstract

Background: The frontal sinus remains one of the most technically demanding regions in endoscopic sinonasal surgery because of its narrow drainage pathway, highly variable pneumatization, acute access angle, and proximity to the orbit and anterior skull base. Although limited frontal sinusotomy is sufficient for many patients, persistent inflammation, osteitis, postoperative scarring, recurrent polyposis, mucoceles, and selected tumors may cause failure of conventional approaches. The Draf III procedure, also known as the endoscopic

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References

Fokkens WJ, Lund VJ, Hopkins C, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020;58(suppl S29):1-464.

DeConde AS, Smith TL. Outcomes after frontal sinus surgery: an evidence-based review. Otolaryngol Clin North Am. 2016;49(4):1019-1033.

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Published

2024-11-20

Issue

Vol. 53 No. 03 (2024): Year 2024, Volume 53, Issue 3

Section

Original

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How to Cite

Endoscopic Modified Lothrop Procedure for Refractory Frontal Sinus Disease: Indications, Surgical Technique, Outcomes, and Complications (Adly Ahmed Tantawy, Magdy Ibrahim Gouda, Isamel Sedik Elnashar, Mohamed Abdelrahman Fatouha , Trans.). (2024). Cuestiones De Fisioterapia, 53(03), 8027-8037. https://doi.org/10.48047/ysay1m08