[Application of frontal drill in revision endoscopic frontal sinus surgery].
OBJECTIVE
To discuss the application of frontal drill in revision endoscopic frontal sinus surgery.


METHODS
The clinical data of 11 adult patients (18 sides) suffering from chronic recurrent frontal sinusitis were analyzed retrospectively. The patients received revision endoscopic frontal sinus surgery with frontal drill because of difficulty in confirming ostia under endoscope. Postoperatively all cases were followed up to evaluate the efficacy.


RESULTS
The ostia of frontal sinus were successfully opened with this method in all cases, and no serious complications occurred except hemorrhage due to injury of anterior ethmoidal artery in 1 case. After 7 to 35 months follow-up postoperatively, the symptoms vanished in all cases and none recurred. The endoscopic examinations showed well-opening of frontal sinus ostia.


CONCLUSIONS
Localization of frontal ostium with frontal drill is a simple, convenient, safe and effective accessorial method for revision endoscopic frontal sinus surgery.
Ji
Junfeng
J
Department of Otolaryngology-Head and Neck Surgery, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing, 210002, China.
Wang
Qiuping
Q
Li
Zeqing
Z
Wang
Tianyou
T
Jiang
Manjie
M
Tang
Jian
J
D000328:Adult; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005626:Frontal Sinus / Q000601:surgery*; D015522:Frontal Sinusitis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies