The Frontal Sinus Trephination Procedure

This video shows how to perform a trephine of the frontal sinus. This particular patient had symptomatic frontal sinus disease. Bothe external & endoscopic views are presented.

Category:

Howto & Style

Tags:

• surgery
• video
• atlas
• sinus
• sinusitis
• trephine
• endoscope

[nasenbaerwien]

Why do you open it from outside. we only to this to obliterate the sinus with abdominal fat.

a normal procedure would be done only endoskopically

[Demagogue8990]

@nasenbaerwien this patient was blind in the opposite eye. Therefore, an external approach is the only way of safely performing this procedure with minimal morbidity.

[MazingerMzeta]

where do they did this? ancient egypt?... i think there are other methods... this seem to be an old precedure.

[Demagogue8990]

What I believe you are trying to say is that this procedure is obsolete. The vast majority of surgical procedures performed today are old & quite useful. Those without any knowledge of rhinology or sinus surgery would probably agree with your comment; however, this is the safest & most secure way of treating a severe, acute frontal sinus infection. After treating the acute disease, the patient may be taken back to the OR at a later date for an endoscopic approach.

[TOMCATRIJEKA]

Good job. Many of surgeons today prefers only an endonasal approach to frontal sinus. I had done trephination of frontal sinus only one time when I had a patient (15 years old boy with airgun bullet in left frontal sinus) when I done that under local anesthesia.

[Tirdfish]

@MazingerMzeta It's the only way in to clear the frontal sinus.

[quamoclit]

I need to know... why do the surgeons argue in this video? What is the history behind it?