[Minimally invasive surgery for treating of complicated fronto-ethmoidal sinusitis].
OBJECTIVE
Functional endoscopic sinus surgery (FESS) is nowadays the "gold standard" for frontal sinus pathologies, but management of acute situations and the aproach and/or the extent of the surgery perfomed in the frontal recess remains controversial nowadays.


METHODS
We report our experience in 4 patients with orbital celulitis due to frontal sinusitis who underwent combined external surgery (mini-trephination) and endoscopic sinus surgery.


RESULTS
All patients managed sinus patency without any complications.


CONCLUSIONS
We found this combined sinusotomy as an easy, effective and reproductible technique in order to resolve the difficult surgical management of complicated frontal sinusitis.
Servicio de ORL, Hospital del Bierzo, Ponferrada, León. pilipomar@hotmail.com
P
P
Pomar Blanco
C
C
Martín Villares
J
J
San Román Carbajo
M
M
Fernández Pello
M
M
Tapia Risueño
D000293:Adolescent; D000328:Adult; D004724:Endoscopy / Q000379:methods; D015521:Ethmoid Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D015522:Frontal Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed