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If any nasal polyps obstructing ventilation or drainage are present, they are also removed. [8] In the case of paranasal sinus/nasal cavity tumors (benign or cancerous), an otolaryngologist can perform FESS to remove the growths, sometimes with the help of a neurosurgeon, depending on the extent of the tumor. In some cases, a graft of bone or ...
Endoscopically, it is detected by visualizing flushed fluorescein dye into the nasal cavity. This process is a method to detect the frontal sinus outflow tract. In some cases after endoscopic sinus surgery, frontal sinus trephining is indicated in order to prevent stenosis of frontal sinus infundibulum by passing down a catheter into the ...
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.
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
Caldwell-Luc surgery, Caldwell-Luc operation, also known as Caldwell-Luc antrostomy, and Radical antrostomy, is an operation to remove irreversibly damaged mucosa of the maxillary sinus. It is done when maxillary sinusitis is not cured by medication or other non-invasive technique. The approach is mainly from the anterior wall of the maxilla bone.
Frontal bone fractures may result in damage to the frontonasal duct, resulting in impaired drainage of the frontal sinus and consequent predisposition to intercranial spread of infection, and the development of mucocele in the frontal sinus. Frontal sinus wall fractures may require the frontonasal duct to be sealed and the epithelium of the ...
With the advent of nasal endoscopes, endoscopic dacryocystorhinostomy is becoming popular. In this procedure, a nasal endoscope is used to visualise the lacrimal sac through the nasal cavity. The bone covering the lacrimal sac is nibbled out. The medial wall of the sac is incised or excised, facilitating drainage of tears into the nasal cavity.
The uncinate process can be attached to either the lateral nasal wall, on the lamina papyracea (50%), the anterior cranial fossa, on the ethmoidal roof (25%), or the middle concha (25%). The superior attachment of the uncinate process determines the drainage pattern of the frontal sinus.
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