Transpalpebral Frontal Sinus Septectomy: Feasibility and Results
Background Transpalpebral frontal septectomy (TFS) can be performed for unilateral frontal sinusitis drainage (into the contralateral healthy frontal sinus) or to provide access to the lateral extent of the contralateral frontal sinus. This procedure has demonstrated its usefulness in several proble...
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crsagepubl:10.1177/1945892419899351 2023-05-15T18:15:18+02:00 Transpalpebral Frontal Sinus Septectomy: Feasibility and Results Graziani, Jade Penicaud, Martin Hazbri, Djamel Dessi, Patrick Michel, Justin Radulesco, Thomas 2020 http://dx.doi.org/10.1177/1945892419899351 http://journals.sagepub.com/doi/pdf/10.1177/1945892419899351 http://journals.sagepub.com/doi/full-xml/10.1177/1945892419899351 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license American Journal of Rhinology & Allergy volume 34, issue 3, page 375-381 ISSN 1945-8924 1945-8932 General Medicine Otorhinolaryngology Immunology and Allergy journal-article 2020 crsagepubl https://doi.org/10.1177/1945892419899351 2022-05-26T08:13:34Z Background Transpalpebral frontal septectomy (TFS) can be performed for unilateral frontal sinusitis drainage (into the contralateral healthy frontal sinus) or to provide access to the lateral extent of the contralateral frontal sinus. This procedure has demonstrated its usefulness in several problematic situations for the endoscopic surgeon. Objective The main objective of our study was to evaluate the feasibility of TFS. Secondary objectives were to define outcomes, early and late complications, contraindications, and failure rates of the TFS. Methods We reviewed patient demographics including age and gender, indication for frontal septectomy, prior surgeries, failure rates and necessity of revision surgery, early and late complications, and the side of the approach (ipsi- or contralateral to the frontal sinus pathology). Twenty patients who had undergone TFS were included. Patients were classified into 2 groups according to the surgical indication: group 1—TFS performed for unilateral frontal sinusitis to drain a frontal sinus in the contralateral frontal sinus; and group 2—TFS performed to provide access to the lateral extent of the contralateral frontal sinus. Scarring was assessed using the SCAR-Q questionnaire. Results TFS was performed on all patients in Groups 1 and 2 (success rate = 100%). No patients had recurrence of the pathology 6 months after surgery (0%). No patient needed revision surgery (0%). One complication (frontal hypoesthesia) was reported 6 months after surgery. Mean SCAR-Q score was 99.3 ± 2.5 (min = 91/100, max = 100/100). Conclusion TFS was feasible for all patients in this study. This procedure permits drainage of the frontal sinus and gives access to the lateral extent of the contralateral frontal sinus, without visible scarring, and with few lasting complications. Authorization to conduct this study was obtained from the Ethical Committee of our institution (APHM, n°2019_65). Article in Journal/Newspaper SCAR SAGE Publications (via Crossref) American Journal of Rhinology & Allergy 34 3 375 381 |
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English |
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General Medicine Otorhinolaryngology Immunology and Allergy |
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General Medicine Otorhinolaryngology Immunology and Allergy Graziani, Jade Penicaud, Martin Hazbri, Djamel Dessi, Patrick Michel, Justin Radulesco, Thomas Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
topic_facet |
General Medicine Otorhinolaryngology Immunology and Allergy |
description |
Background Transpalpebral frontal septectomy (TFS) can be performed for unilateral frontal sinusitis drainage (into the contralateral healthy frontal sinus) or to provide access to the lateral extent of the contralateral frontal sinus. This procedure has demonstrated its usefulness in several problematic situations for the endoscopic surgeon. Objective The main objective of our study was to evaluate the feasibility of TFS. Secondary objectives were to define outcomes, early and late complications, contraindications, and failure rates of the TFS. Methods We reviewed patient demographics including age and gender, indication for frontal septectomy, prior surgeries, failure rates and necessity of revision surgery, early and late complications, and the side of the approach (ipsi- or contralateral to the frontal sinus pathology). Twenty patients who had undergone TFS were included. Patients were classified into 2 groups according to the surgical indication: group 1—TFS performed for unilateral frontal sinusitis to drain a frontal sinus in the contralateral frontal sinus; and group 2—TFS performed to provide access to the lateral extent of the contralateral frontal sinus. Scarring was assessed using the SCAR-Q questionnaire. Results TFS was performed on all patients in Groups 1 and 2 (success rate = 100%). No patients had recurrence of the pathology 6 months after surgery (0%). No patient needed revision surgery (0%). One complication (frontal hypoesthesia) was reported 6 months after surgery. Mean SCAR-Q score was 99.3 ± 2.5 (min = 91/100, max = 100/100). Conclusion TFS was feasible for all patients in this study. This procedure permits drainage of the frontal sinus and gives access to the lateral extent of the contralateral frontal sinus, without visible scarring, and with few lasting complications. Authorization to conduct this study was obtained from the Ethical Committee of our institution (APHM, n°2019_65). |
format |
Article in Journal/Newspaper |
author |
Graziani, Jade Penicaud, Martin Hazbri, Djamel Dessi, Patrick Michel, Justin Radulesco, Thomas |
author_facet |
Graziani, Jade Penicaud, Martin Hazbri, Djamel Dessi, Patrick Michel, Justin Radulesco, Thomas |
author_sort |
Graziani, Jade |
title |
Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
title_short |
Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
title_full |
Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
title_fullStr |
Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
title_full_unstemmed |
Transpalpebral Frontal Sinus Septectomy: Feasibility and Results |
title_sort |
transpalpebral frontal sinus septectomy: feasibility and results |
publisher |
SAGE Publications |
publishDate |
2020 |
url |
http://dx.doi.org/10.1177/1945892419899351 http://journals.sagepub.com/doi/pdf/10.1177/1945892419899351 http://journals.sagepub.com/doi/full-xml/10.1177/1945892419899351 |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
American Journal of Rhinology & Allergy volume 34, issue 3, page 375-381 ISSN 1945-8924 1945-8932 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1945892419899351 |
container_title |
American Journal of Rhinology & Allergy |
container_volume |
34 |
container_issue |
3 |
container_start_page |
375 |
op_container_end_page |
381 |
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1766188396556845056 |