ABSTRACT
Functional endoscopic sinus surgery has been a major advance in management of chronic sinusitis and other sinonasal diseases. However before one embarks on this surgery, the surgical anatomy of this region and its variations should be clearly understood by the surgeon, and the surgical steps of every stage of uperation should be mastered by adequate practice on cadavers. One has to proceed from simple endoscopic surgery to the advanced ones for better results.
ABSTRACT
Endoscopic sinus surgery has brought a change in the concept of treatment of sinus disease. Frontal sinusitis, however, still gives rise to intra and extracranial complication often musked by antibiotic intake. Where endoscopic surgery may fail to completely eradicate disease or even not be feasible due to various anatomic factors and other limitation. It is here that the tried and trusted external approach to the frontal sinus finds a role even today. Four such cases of various complication not amenable to endoscopic sinus surgery are presented here with the view of maintaining the necessity of keeping the external approach within the present day surgical palette when treating complication of frontal sinus disease.
ABSTRACT
Foreign body in the nasolacrimal duct is extremely rare. We present a case of foreign body of nasolacrimal duct responsible for recurrent dacryocystitis which was removed with the help of an endoscope.
Subject(s)
Endoscopy , Foreign Bodies/surgery , Nasolacrimal Duct/surgery , Adolescent , Dacryocystitis/etiology , Foreign Bodies/complications , Humans , Male , RecurrenceABSTRACT
The frontal sinus is prone to various complications--usually secondary to blockage of the fronto-nasal duct and stagnation of frontal sinus secretions. These pent-up secretions may result in pressure necrosis of the inferior or posterior sinus wall. Involvement of anterior wall is uncommon. We present a case of an anterior wall frontal sinus fistula and discuss its management.
