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Combined approach intranasal endoscopic and external Lothrop procedure in chronic frontal sinus disease

Published online by Cambridge University Press:  29 June 2007

H. R. Sharp ,
P.D.R. Spraggs  and
I. S. Mackay
H. R. Sharp*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
P.D.R. Spraggs
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
I. S. Mackay
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London, UK.
*
Address for correspondence: Mr Henry Sharp F.R.C.S., Department of Otorhinolaryngotagyand Head and Neck Surgery, Charing Cross Hospital, Fulham Palace Road, London W6 8RF. Fax: 0181 846 1070
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Abstract

The endoscopic approach to the fronto-ethmoidal recess (FER) in the treatment of chronic frontal sinus disease is now widely accepted. The Lothrop procedure was first described in 1914, but was largely replaced with more invasive open frontal sinus proceduresuntil the advent of the rigid Hopkins' rod, since when it has enjoyed enewed popularity.

We describe a modification of this technique which allows both transnasal endoscopic and external direct visualization of the FER and frontal sinus and a direct approach to the anterior buttress (or “nasofrontal beak”) which allows its quick and simple removal.

Keywords

EndoscopySurgeryFrontal sinusitis
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 7 , July 1997 , pp. 635 - 637
Copyright
Copyright © JLO (1984) Limited 1997

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