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Extended applications of the endoscopic modified Lothrop procedure

  • N Choudhury (a1), A Hariri (a2) and H Saleh (a3)
Abstract Objective:

The endoscopic modified Lothrop procedure is mainly used for refractory frontal sinusitis. However, we have used it as an access procedure to facilitate treatment for an extended range of additional frontal sinus pathologies.


A retrospective review of patients who underwent the endoscopic modified Lothrop procedure for ‘alternative’ frontal sinus pathologies was conducted. Patient data were reviewed. The main outcome parameter measured was signs of recurrence.


Twelve patients (6 males, 6 females) from a 7-year study period, with a mean age of 45.2 years (range, 16–78 years), were analysed. The surgical indications included frontoethmoidal mucoceles, cerebrospinal fluid leaks within the frontal sinus, cystic fibrosis, frontal sinus osteoma, frontal sinus ossifying fibroma and frontal silent sinus syndrome. The mean follow-up period was 33.3 months. There were no known recurrences.


We have used the endoscopic modified Lothrop procedure for a range of frontal sinus pathologies, safely and effectively, with no peri-operative complications.

Corresponding author
Address for correspondence: Ms Natasha Choudhury, Department of ENT, Charing Cross Hospital, Fulham Palace Road, London W6 9NT, UK Fax: 01372 275 894 E-mail:
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Presented at the International Society of Infection and Allergy of the Nose (‘ISIAN’) and the International Rhinology Society (‘IRS’) meeting, 20–24 November 2014, Dubai, United Arab Emirates.

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  • EISSN: 1748-5460
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