Intranasal operations for frontal sinus suppuration

Intranasal operations for frontal sinus suppuration by P. Watson-Williams Download PDF EPUB FB2

To Fletcher Ingals is due the credit, of introducing the method of following up the tract of the fronto-nasal duct-that is, entering the frontal sinus outside the middle turbinal and through the natural frontal sinus ostium. All modern methods are developments of Fletcher Ingals's operation-e.g., the operations of Author: P.

Watson-Williams. A frontal paranasal sinus mucocoele (pronounced 'myü-k&-"sEl) is a cystic lesion full of thick mucous in the paranasal sinuses. It develops when the opening of a paranasal sinus becomes obstructed because of trauma, infection, chronic sinusitis, polyps, malignancy, bony tumors, or congenital anomalies.

Intranasal Surgery. One or more of the following procedures may be done: Correction of a bent middle partition of the nose ~ septoplasty Partial or complete amputation of swollen turbinates ~ turbinectomy Formation of the drain holes into the large maxillary sinuses ~ intranasal antrostomies Clearance of polyps from the nose ~ polypectomy Opening and removal of diseased ethmoid sinuses.

2 Endoscopic Anatomy of the Nose and Paranasal Sinuses Anatomical textbooks and atlases offer very accurate descriptions of the structure and topography of the nose and the paranasal sinuses, but the details have been worked out from macroscopic laminar sections on cadaver dissections.

However, intranasal surgeons must be able to orientate themselves looking through straight. Surgery on the frontal recess and frontal sinus remains a challenge for endoscopic sinus surgeons. This paper examines the philosophy behind such surgery and presents a technqiue for 3-dimensional Author: Peter John Wormald.

Intranasal (IN) medication delivery is simply another option or method to deliver therapeutic medications to the patient’s blood stream to achieve a desired clinical effect. It is a tool in the therapeutic armamentarium just as oral, rectal, sublingual, intramuscular and intravenous delivery methods are also tools to deliver medications.

In his original paper inLothrop 6 described his technique as consisting of an intranasal ethmoidectomy followed by an external Lynch-type approach with resection of the medial frontal sinus. 2. Definition. The combined term “Rhinosinusitis” was coined by Task Force of Rhinology and Paranasal Sinus Committee because sinusitis is invariably accompanied by rhinitis [].Acute rhinosinusitis implies sudden onset of two or more of the following symptoms: nasal discharge, stuffiness or congestion, facial pain/pressure, or anosmia/hyposmia [17, 18].Cited by: 4.

It is the object of this paper to report, as briefly as possible, the results of ninety consecutive intranasal operations on the antrum of Highmore for chronic suppuration, and to give some observations made incidental to these.

The pathology and anatomy willAuthor: Harvard McNAUGHT. The frontal sinuses are the last to pneumatize at around 8–10 years of age so that in theory classic Pott's puffy tumor (Fig. ) cannot occur prior to this as it requires osteomyelitis of the frontal bone secondary to frontal sinusitis associated with cortical vein thrombosis, epidural abscess, and subdural empyema occasionally resulting.

At birth, the sphenoid sinus is a blind mucosal sac that does not reach the sphenoid bone or cartilage, and the frontal sinus is not present. By age 4 years, the frontal sinus begins to expand from the frontal recess, and the sphenoid sinus is the size of a pea but is easily identifiable.

From age years, the ethmoid growth slows. An important review of the clinical anatomy of the nose, nasal cavity, and paranasal sinuses is presented by Professor Lang. He has intensively researched the anatomy of these structures for a quarter of a century, with emphasis on exact measurements of these 5/5(1).

Full text of "Rhinology, a text book of diseases of the nose and the nasal accessory sinuses" See other formats. Moreover, despite the large number of anatomical drawings in his book, Vesalius scarcely provided any illustrations of the paranasal sinuses. Specifically, there is no image of the maxillary sinus, although Vesalius recognized its presence; on the other hand, the frontal sinuses are shown only in a transverse cross-section that depicted the Cited by: 9.

Close LG, Lee NK, Leach JL, et al () Endoscopic resection of the intranasal frontal sinus floor. Ann Otol Rhinol Laryngol – PubMed Google Scholar by: Intranasal definition is - lying within or administered by way of the nasal structures.

Frontal sinus fractures occur from trauma to the part of the frontal bone that overlies the sinus, often from motor vehicle accidents and falls. The hallmarks of a frontal sinus fracture is a frontal depression in the anterior table of the : supra-orbital, anterior ethmoidal.

The maxillary sinuses are the largest of the all the paranasal sinuses. They have thin walls which are often penetrated by the long roots of the posterior maxillary superior border of this sinus is the bony orbit, the inferior is the maxillary alveolar bone and corresponding tooth roots, the medial border is made up of the nasal cavity and the lateral and anterior border are limited.

Frontal Sinus Outflow Tract • Infundibulum (above) • Frontal ostium (neck) • Frontal recess (below)» Ethmoid Bulla cells located posteriorly •Suprabullar cells» Suprabullar recess •Frontal bullar cells •Supraorbital cells» Agger Nasi located anteriorly •Agger nasi cell •Frontal cells» Bent and Kuhn, A patient has endoscopic surgery done to remove his anterior and posterior ethmoid sinuses.

The surgeon dialated the maxillary sinus with a balloon using a transnasal appraoch, explored the frontal sinuses, removed two polyps from the maxillary sinus, and then performed the tissue removal. By definition a completely opacified, nonenhancing and mucus-filled expanded sinus, a mucocele is the most common expansile mass of a paranasal sinus (Figure 3).

Most often secondary to an obstruction of the sinus ostium, mucoceles may also result from surgery, osteoma or prior trauma; this is especially true of frontal sinus mucoceles. (10).The objective of this case report is to present a patient with chronic headache who was diagnosed with excessive aeration of all paranasal sinuses and mastoid air cells using computed tomography imaging.

The volume and linear measurements of all of the cavities revealed values greater than the greatest values reported in the literature. To date, this is the second reported case of excessive Cited by: 2.For the external route, the procedure is similar to the frontal sinus operation. g. Sphenoidectomy.

(1) General. This involves making an opening into one or both of the sphenoid sinuses by the intranasal or external ethmoidectomy approach. It is difficult to visualize the .