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Frontal sinus trephination is a surgical procedure wherein a small opening is made in the floor of the frontal sinus to facilitate drainage of its contents. Drainage of the frontal sinus is done through the floor of frontal sinus above the inner canthus .
Frontal sinus. Each frontal sinus is situated between the external and internal plates of the frontal bone. [1] [2] Their average measurements are as follows: height 28 mm, breadth 24 mm, depth 20 mm, creating a space of 6-7 ml. [3]
Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses.Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
The frontonasal duct is a duct through which either frontal sinus drains into the nasal cavity. [2] [3] Each frontal sinus opens into the frontonasal duct by an opening (the opening of frontal sinus or frontal sinus aperture [4]) on the inferomedial part [3] of the floor of the sinus. [4]
Pneumocephalus and comminuted fracture of the frontal sinus Pneumocephalus is the presence of air or gas within the cranial cavity . It is usually associated with disruption of the skull : after head and facial trauma , tumors of the skull base, after neurosurgery or otorhinolaryngology , and rarely, spontaneously.
Sinus surgery with balloons may be performed in a hospital, outpatient surgery setting or in the physician’s office under local anesthesia. The physician inserts a guide catheter through the nostril and near the sinus opening under endoscopic visualization. A flexible guide wire is then introduced into the targeted sinus to confirm access.
An enlarged agger nasi cell may encroach the frontal recess area, constricting it and causing mechanical obstruction to frontal sinus drainage. The agger nasi cell may be removed during sinus surgery to open an obstructed frontal sinus drainage pathway.
The frontal sinuses are located in the frontal bone; the sphenoidal sinuses in the sphenoid bone; the maxillary sinuses in the maxilla; and the ethmoidal sinuses in the ethmoid bone. [2] [13] A narrow opening called a sinus ostium from each of the paranasal sinuses allows drainage into the nasal cavity. The maxillary sinus is the largest of the ...