The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts

Detalhes bibliográficos
Autor(a) principal: Dassi,Camila S.
Data de Publicação: 2020
Outros Autores: Demarco,Flávia R., Mangussi-Gomes,João, Weber,Raimar, Balsalobre,Leonardo, Stamm,Aldo C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Archives of Otorhinolaryngology
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642020000300364
Resumo: Abstract Introduction The frontal sinus (FS) is the most complex of the paranasal sinuses due to its location, anatomical variations and multiple clinical presentations. The surgical management of the FS and of the frontal recess (FR) is technically challenging, and a complete understanding of its anatomy, radiology, main diseases and surgical techniques is crucial to achieve therapeutic success. Objectives To review the FS and FR anatomy, radiology, and surgical techniques. Data Synthesis The FS features a variety of anatomical, volumetric and dimensional characteristics. From the endoscopic point of view, the FR is the point of greatest narrowing and, to have access to this region, one must know the anatomical limits and the ethmoid cells that are located around the FR and very often block the sinus drainage. Benign diseases such as chronic rhinosinusitis (CRS), mucocele and osteomas are the main pathologies found in the FS; however, there is a wide variety of malignant tumors that can also affect this region and represent a major technical challenge to the surgeon. With the advances in the endoscopic technique, the vast majority of diseases that affect the FS can be treated according to Wolfgang Draf, who systemized the approaches into four types (I, IIa, IIb, III). Conclusion Both benign and malignant diseases that affect the FS and FR can be successfully managed if one has a thorough understanding of the FS and FR anatomy, an individualized approach of the best surgical technique in each case, and the appropriate tools to operate in this region.
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spelling The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Conceptsfrontal sinusfrontal recessfrontal sinus drainage pathwayendoscopic sinus surgerydraf classificationmodified lothrop procedureAbstract Introduction The frontal sinus (FS) is the most complex of the paranasal sinuses due to its location, anatomical variations and multiple clinical presentations. The surgical management of the FS and of the frontal recess (FR) is technically challenging, and a complete understanding of its anatomy, radiology, main diseases and surgical techniques is crucial to achieve therapeutic success. Objectives To review the FS and FR anatomy, radiology, and surgical techniques. Data Synthesis The FS features a variety of anatomical, volumetric and dimensional characteristics. From the endoscopic point of view, the FR is the point of greatest narrowing and, to have access to this region, one must know the anatomical limits and the ethmoid cells that are located around the FR and very often block the sinus drainage. Benign diseases such as chronic rhinosinusitis (CRS), mucocele and osteomas are the main pathologies found in the FS; however, there is a wide variety of malignant tumors that can also affect this region and represent a major technical challenge to the surgeon. With the advances in the endoscopic technique, the vast majority of diseases that affect the FS can be treated according to Wolfgang Draf, who systemized the approaches into four types (I, IIa, IIb, III). Conclusion Both benign and malignant diseases that affect the FS and FR can be successfully managed if one has a thorough understanding of the FS and FR anatomy, an individualized approach of the best surgical technique in each case, and the appropriate tools to operate in this region.Fundação Otorrinolaringologia2020-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642020000300364International Archives of Otorhinolaryngology v.24 n.3 2020reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0040-1713923info:eu-repo/semantics/openAccessDassi,Camila S.Demarco,Flávia R.Mangussi-Gomes,JoãoWeber,RaimarBalsalobre,LeonardoStamm,Aldo C.eng2020-08-26T00:00:00Zoai:scielo:S1809-48642020000300364Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2020-08-26T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false
dc.title.none.fl_str_mv The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
title The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
spellingShingle The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
Dassi,Camila S.
frontal sinus
frontal recess
frontal sinus drainage pathway
endoscopic sinus surgery
draf classification
modified lothrop procedure
title_short The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
title_full The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
title_fullStr The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
title_full_unstemmed The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
title_sort The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts
author Dassi,Camila S.
author_facet Dassi,Camila S.
Demarco,Flávia R.
Mangussi-Gomes,João
Weber,Raimar
Balsalobre,Leonardo
Stamm,Aldo C.
author_role author
author2 Demarco,Flávia R.
Mangussi-Gomes,João
Weber,Raimar
Balsalobre,Leonardo
Stamm,Aldo C.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Dassi,Camila S.
Demarco,Flávia R.
Mangussi-Gomes,João
Weber,Raimar
Balsalobre,Leonardo
Stamm,Aldo C.
dc.subject.por.fl_str_mv frontal sinus
frontal recess
frontal sinus drainage pathway
endoscopic sinus surgery
draf classification
modified lothrop procedure
topic frontal sinus
frontal recess
frontal sinus drainage pathway
endoscopic sinus surgery
draf classification
modified lothrop procedure
description Abstract Introduction The frontal sinus (FS) is the most complex of the paranasal sinuses due to its location, anatomical variations and multiple clinical presentations. The surgical management of the FS and of the frontal recess (FR) is technically challenging, and a complete understanding of its anatomy, radiology, main diseases and surgical techniques is crucial to achieve therapeutic success. Objectives To review the FS and FR anatomy, radiology, and surgical techniques. Data Synthesis The FS features a variety of anatomical, volumetric and dimensional characteristics. From the endoscopic point of view, the FR is the point of greatest narrowing and, to have access to this region, one must know the anatomical limits and the ethmoid cells that are located around the FR and very often block the sinus drainage. Benign diseases such as chronic rhinosinusitis (CRS), mucocele and osteomas are the main pathologies found in the FS; however, there is a wide variety of malignant tumors that can also affect this region and represent a major technical challenge to the surgeon. With the advances in the endoscopic technique, the vast majority of diseases that affect the FS can be treated according to Wolfgang Draf, who systemized the approaches into four types (I, IIa, IIb, III). Conclusion Both benign and malignant diseases that affect the FS and FR can be successfully managed if one has a thorough understanding of the FS and FR anatomy, an individualized approach of the best surgical technique in each case, and the appropriate tools to operate in this region.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642020000300364
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1055/s-0040-1713923
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dc.publisher.none.fl_str_mv Fundação Otorrinolaringologia
publisher.none.fl_str_mv Fundação Otorrinolaringologia
dc.source.none.fl_str_mv International Archives of Otorhinolaryngology v.24 n.3 2020
reponame:International Archives of Otorhinolaryngology
instname:Fundação Otorrinolaringologia (FORL)
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instname_str Fundação Otorrinolaringologia (FORL)
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institution FORL
reponame_str International Archives of Otorhinolaryngology
collection International Archives of Otorhinolaryngology
repository.name.fl_str_mv International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)
repository.mail.fl_str_mv ||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br
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