Minimally invasive approaches to the sphenoid sinus.
Otolaryngol Head Neck Surg
; 126(6): 635-41, 2002 Jun.
Article
em En
| MEDLINE
| ID: mdl-12087330
ABSTRACT
OBJECTIVE:
We sought to develop an algorithm for surgical approaches to the sphenoid sinus. STUDY DESIGN ANDSETTING:
Retrospective review was conducted of all patients who underwent a sphenoid sinusotomy by the senior author between July 1994 and August 2001.RESULTS:
The study population consisted of 141 patients, in whom 5 different surgical approaches were used transseptal (47 [33.3%]), transnasal (19 [13.5%]), transethmoid (72 [51.1%]), transmaxillary (2 [1.42%]), and external (1 [0.7%]). Of the 47 transseptal approaches, 43 (91.5%) were for extirpation of a neoplasm. In contrast, 60 of 72 (83.3%) transethmoid procedures were for infectious/inflammatory disorders. An endoscopic approach was used for 7 of 8 (87.5%) skull base repairs. Four transsphenoid optic nerve decompressions were performed. The minor and major complication rates were 2.1% and 0.71%, respectively.CONCLUSIONS:
The anatomic location of the pathologic process can guide the surgeon in selecting the most appropriate technique.SIGNIFICANCE:
Surgical treatment of sphenoid pathology can be safely and successfully performed through a variety of approaches.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Seio Esfenoidal
/
Neoplasias dos Seios Paranasais
/
Sinusite Esfenoidal
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Endoscopia
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article