[Endoscopic resection of the frontal sinus floor following the Draf procedure: long term results and therapeutic algorithm].
OBJECTIVE
Endoscopic resection of the frontal sinus floor is a minimally invasive and functional surgical procedure designed for the treatment of inflammatory sinus diseases, which avoids the side-effects of external osteoplastic obliteration. The aim of the study was to evaluate long term results and to determine computed tomographic criteria predictive of success.


METHODS
Our study reports the results of 20 patients operated for nasofrontal stenosis associated or not with osteitis or secondary mucocele.


RESULTS
A successful result was obtained in 90% with a mean follow-up of 3.5 years. Failures (2) were attributed to insufficient resection and to frontal sinus osteogenesis.


CONCLUSIONS
Endoscopic frontal sinusotomy is a safe and effective procedure for large sinuses with large distance between nasion and cribriform plate, but not in case of osteogenesis and multiple mucoceles. In case of unfavourable anatomy, or for the aforementioned pathologies, the obliteration procedure should be preferred.
Pételle
B
B
Service ORL et de Chirurgie Maxillo-Faciale et Plastique, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris Cedex 10. boris.petelle@lrb.ap-hop-paris.fr
Sauvaget
E
E
Kici
S
S
Tran Ba Huy
P
P
Herman
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors
Résection endoscopique du plancher du sinus frontal selon la technique de Draf. Résultats à long terme et algorithme thérapeutique.