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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(11): 1816-21. |
Two Cases of Treatment of Chronic Frontal Sinus Disease by Combined Use of Osteoplastic Frontal Sinus Surgery and Endoscopic Frontal Sinusotomy |
Yeon Gi Kim, MD, Chul Hong Park, MD, Jung Hwan Ha, MD, and Chong Ae Kim, MD |
Department of Otolaryngology, Wallace Memorial Baptist Hospital, Pusan, Korea |
만성 전두동 질환에 있어서 골성형 수술 및 비내시경적 전두동 수술을 병용한 치험 2례 |
김연기 · 박철홍 · 하정환 · 김종애 |
왈레스기념 침례병원 이비인후과 |
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ABSTRACT |
Chronic frontal sinus disease, which do not respond to medical treatment, has been treated by surgical methods. Riedel’s radical sinusectomy shows excellent success rates, but results in flattening of the forehead. Lynch-Howarth frontal sinusectomy damages the bony framework of nasofrontal duct, and results in relatively high recurrence rate. Frontal osteoplastic flap operation, which has been widely used, provides excellent frontal sinus exposur and shows little recurrence rate. But fat obliterated sinus is always radiographically opaque, which makes the diagnosis of recurrent disease difficult by either palin films or CT. Recently, endoscopic frontal sinus surgery has been reported with good results. But long term follow up study is still required. We used the combined method of frontal osteoplastic flap operation and endoscopic frontal sinusotomy, in one case of frontal mucocele which has the history of nasal polypectomy and intranasal ethmoidectomy, and in another case of chronic frontal sinusitis which was recurred after endoscopic frontal sinus surgery. And we had good results in these two cases.
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Keywords:
Osteoplastic frontal sinusotomyㆍEndoscopic frontal sinus surgery. |
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