title: Modified hemi-Lothrop procedure for supraorbital ethmoid lesion access.
abstract: The supraorbital ethmoid (SOE) cell is an accessory ethmoid cell in the frontal area that extends into and pneumatizes superolaterally along the orbital plate of the frontal bone. The outflow pathway of the SOE cell can become obstructed, leading to an SOE mucocele. Given their lateral location, SOE lesions are traditionally treated through external approaches, although some authors have advocated treatment through standard endoscopic routes. We present a case of a large, supraorbital ethmoid mucocele treated with a novel modified hemi-Lothrop procedure (MHLP). This technique provides the benefit of an angulated approach to increase lateral visualization and bimanual, binostril instrumentation through a superior septectomy window.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey 07103, USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Friedel
authors.forename: Shawn
authors.initials: S
authors.lastname: Li
authors.forename: Paul D
authors.initials: PD
authors.lastname: Langer
authors.forename: James K
authors.initials: JK
authors.lastname: Liu
authors.forename: Jean Anderson
authors.initials: JA
authors.lastname: Eloy
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D004322:Drainage / Q000379:methods*; D004724:Endoscopy / Q000379:methods; D015521:Ethmoid Sinusitis / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed