Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/10434
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Type: Journal article
Title: The axillary flap approach to the frontal recess
Author: Wormald, P.
Citation: The Laryngoscope, 2002; 112(3):494-499
Publisher: Lippincott Williams & Wilkins
Issue Date: 2002
ISSN: 0023-852X
1531-4995
Abstract: <h4>Objectives</h4>To evaluate the access to the frontal recess using the axillary flap approach by identifying the frontal ostium during endoscopic sinus surgery.<h4>Study design</h4>Prospective review of 64 consecutive patients (118 sides) undergoing axillary flap exposure of the frontal recess between November 1998 and July 1999.<h4>Methods</h4>Demographic data, identification of the frontal ostium, findings at surgery, use of nasal packing, the presence of postoperative symptoms, revision surgery, and the endoscopic appearance of the frontal recess were collected. The operative technique is presented.<h4>Results</h4>The frontal sinus ostium was identified in 96% of patients (104 of the 118 sides). Eight sides had Kuhn type 3 cells that required removal for clearance of the frontal ostium. Eighty-two percent of sides (97 sides) had endoscopically healed sinuses without symptoms after an average follow-up of 15.4 months. Six sides had middle meatal adhesions requiring division under local anesthetic. One patient has required revision surgery.<h4>Conclusion</h4>The axillary flap approach to the frontal recess provides excellent access to the frontal recess and allows clearance of cells in the recess with identification of the frontal ostium in the vast majority of cases.
Keywords: Frontal Sinus
Surgical Flaps
Humans
Paranasal Sinus Diseases
Endoscopy
Treatment Outcome
Prospective Studies
Adult
Female
Male
Description: Copyright © 2002 The American Laryngological, Rhinological & Otological Society, Inc.
DOI: 10.1097/00005537-200203000-00016
Published version: http://dx.doi.org/10.1097/00005537-200203000-00016
Appears in Collections:Aurora harvest 7
Surgery publications

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