Endoscopic Lothrop procedure: the University of Miami experience.
Over a 2-year period, 21 patients with clinical and radiologic evidence of persistent or recurrent frontal sinusitis who had a prior ethmoidectomy and/or frontal sinusotomy underwent an endoscopic Lothrop procedure. The patients' chief complaints were headaches (13), nasal obstruction and/or purulent rhinorrhea (4), orbital abscess/cellulitis (2), anosmia (1), and cough (1). Preoperative frontal headaches were present in 19 patients. The common frontal ostium remained patent (> 50% of intraoperative size) by flexible fiberoptic examination and transillumination 2-24 months postoperatively in 12 of 21 patients (57%). Eighteen of 21 patients (86%) had improved or resolved chief complaints. All but 4 of 19 patients (21%) with preoperative frontal headaches had improved or resolved symptoms. Two patients required additional surgery during the follow-up period. The endoscopic Lothrop procedure is a viable option before frontal sinus obliteration in patients with recurring frontal sinusitis who have failed conventional endoscopic techniques. The surgical technique and results will be presented.
Casiano
R R
RR
Department of Otolaryngology, University of Miami School of Medicine, FL 33101, USA.
Livingston
J A
JA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003371:Cough / Q000209:etiology; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D015522:Frontal Sinusitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006261:Headache / Q000209:etiology; D006801:Humans; D006967:Hypersensitivity / Q000150:complications; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000209:etiology; D011446:Prospective Studies; D012220:Rhinitis / Q000209:etiology; D014172:Transillumination; D016896:Treatment Outcome