title: The hybrid lid crease approach to address lateral frontal sinus disease with orbital extension.
abstract: OBJECTIVE
  This study aimed to describe the hybrid lid crease approach in conjunction with functional endoscopic sinus surgery (FESS) for lateral frontal sinus disease with orbital extension.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Patients undergoing hybrid lid crease approach with FESS for frontal sinus disease were reviewed retrospectively. Surgical indications consisted of inverting papilloma with extension into the frontal sinus (n = 1) and frontal sinus mucocele (n = 2). Inclusion criteria included presence of disease in the lateral frontal sinus with extension into the orbital space and erosion of the superior orbital rim. Preoperative and postoperative parameters included complete ophthalmologic exam, endoscopic exam, and computed tomography scan.
  
  
  RESULTS
  We were able to access the frontal sinus and orbit in all 3 cases and address sinus pathology of the lateral frontal sinus and orbit using the lid crease approach with FESS. All patients had improvement in ophthalmologic symptoms and interval disease resolution and were satisfied with their postoperative lid crease incision.
  
  
  CONCLUSIONS
  The lid crease approach offers direct access to the frontal sinus with minimal dissection through a well-hidden incision. In our case series of lateral frontal sinus pathology with orbital extension, the hybrid lid crease approach with FESS allowed complete eradication of disease without recurrence.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Jonathan C
authors.initials: JC
authors.lastname: Kopelovich
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Meredith S
authors.initials: MS
authors.lastname: Baker
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Potash
authors.affiliation: Roy J. and Lucille A. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Lajja
authors.initials: L
authors.lastname: Desai
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Richard C
authors.initials: RC
authors.lastname: Allen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA Eugene-Chang@uiowa.edu.
authors.forename: Eugene H
authors.initials: EH
authors.lastname: Chang
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005143:Eyelids / Q000601:surgery*; D005626:Frontal Sinus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000473:pathology / Q000601:surgery; D009915:Orbit / Q000473:pathology / Q000601:surgery*; D018308:Papilloma, Inverted / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: endoscopic; frontal sinus; inverted papilloma; lid crease; mucocele