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Frontal sinus models and onlay templates in osteoplastic flap surgery

Published online by Cambridge University Press:  13 September 2010

M Daniel ,
J Watson ,
E Hoskison  and
A Sama
M Daniel
Affiliation:
Otolaryngology Department, Nottingham University Hospitals, UK
J Watson
Affiliation:
Maxillofacial Department, Nottingham University Hospitals, UK
E Hoskison*
Affiliation:
Otolaryngology Department, Nottingham University Hospitals, UK
A Sama
Affiliation:
Otolaryngology Department, Nottingham University Hospitals, UK
*
Address for correspondence: Ms E Hoskison, Department of Otolaryngology, Nottingham University Hospitals, Nottingham NG7 2ND, UK Fax: +44 (0)115 9709748 E-mail: emmahoskison@hotmail.com
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Abstract

Objective:

Precise delineation of the extent of frontal sinus pneumatisation is a crucial step in osteoplastic flap frontal sinus surgery. The authors present a novel method of achieving this objective.

Methods:

First, models of the frontal area are generated using three-dimensional printing based on pre-operative computed tomography image data. These models are then used to create an onlay template of the frontal sinus, which is used intra-operatively.

Results:

In a series of 10 patients undergoing osteoplastic flap frontal sinus surgery, the described frontal sinus templates were consistently accurate to within 1 mm.

Conclusion:

Frontal sinus templates are potentially useful adjuncts to current techniques employed to guide frontal sinus surgery.

Keywords

Frontal SinusSurgical Procedures, Operative

Information

Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 1 , January 2011 , pp. 82 - 85
Copyright
Copyright © JLO (1984) Limited 2010

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Footnotes

Presented orally at the British Rhinological Society Annual Meeting, 23rd May 2008, Liverpool, UK, and as a poster at the Midlands Institute of Otolaryngology Winter Meeting, 16th January 2009, Leicester, UK.

References

1 Meyer, TK, Smith, TL. Contemporary issues in frontal sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2002;10:8–13CrossRefGoogle Scholar
2 Montgomery, WW. State-of-the-art for osteoplastic frontal sinus operation. Otolaryngol Clin North Am 2001;34:167–77CrossRefGoogle ScholarPubMed
3 Murphy, J, Jones, NS. Frontal sinus obliteration. J Laryngol Otol 2004;118:637–9CrossRefGoogle ScholarPubMed
4 Raghavan, U, Jones, NS. The place of Riedel's procedure in contemporary sinus surgery. J Laryngol Otol 2004;118:700–5CrossRefGoogle ScholarPubMed
5 Maniglia, AJ, Dodds, BL. A safe technique for frontal sinus osteoplastic flap. Laryngoscope 1991;101:908–10CrossRefGoogle ScholarPubMed
6 Ansari, K, Seikaly, H, Elford, G. Assessment of the accuracy and safety of the different methods used in mapping the frontal sinus. J Otolaryngol 2003;32:254–8CrossRefGoogle ScholarPubMed
7 Fewins, JL, Otto, PM, Otto, RA. Computed tomography-generated templates: a new approach to frontal sinus osteoplastic flap surgery. Am J Rhinol 2004;18:285–9CrossRefGoogle ScholarPubMed
8 Melroy, CT, Dubin, MG, Hardy, SM, Senior, BA. Analysis of methods to assess frontal sinus extent in osteoplastic flap surgery: transillumination versus 6-ft Caldwell versus image guidance. Am J Rhinol 2006;20:77–83CrossRefGoogle ScholarPubMed
9 Sindwani, R, Metson, R. Impact of image guidance on complications during osteoplastic frontal sinus surgery. Otolaryngol Head Neck Surg 2004;131:150–5CrossRefGoogle ScholarPubMed
10 Weber, R, Draf, W, Keerl, R, Kahle, G, Schinzel, S, Thomann, W et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–44CrossRefGoogle ScholarPubMed