Frontiers in Surgery (Apr 2022)
Precision Endonasal Endoscopic Surgery of the Frontal Recess Cells and Frontal Sinus Guided by the Natural Sinus Drainage Pathway
- Zhouying Peng,
- Zhouying Peng,
- Zhouying Peng,
- Zhouying Peng,
- Yumin Wang,
- Yumin Wang,
- Yumin Wang,
- Yumin Wang,
- Yan Fang,
- Yan Fang,
- Yan Fang,
- Yan Fang,
- Yaxuan Wang,
- Yaxuan Wang,
- Yaxuan Wang,
- Xiang Chen,
- Xiang Chen,
- Xiang Chen,
- Ruohao Fan,
- Ruohao Fan,
- Ruohao Fan,
- Ruohao Fan,
- Hua Zhang,
- Hua Zhang,
- Hua Zhang,
- Hua Zhang,
- Zhihai Xie,
- Zhihai Xie,
- Zhihai Xie,
- Zhihai Xie,
- Weihong Jiang,
- Weihong Jiang,
- Weihong Jiang,
- Weihong Jiang
Affiliations
- Zhouying Peng
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Zhouying Peng
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Zhouying Peng
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Zhouying Peng
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Yumin Wang
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Yumin Wang
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Yumin Wang
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Yumin Wang
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Yan Fang
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Yan Fang
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Yan Fang
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Yan Fang
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Yaxuan Wang
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Yaxuan Wang
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Yaxuan Wang
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Xiang Chen
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Xiang Chen
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Xiang Chen
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Ruohao Fan
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Ruohao Fan
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Ruohao Fan
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Ruohao Fan
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Hua Zhang
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Hua Zhang
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Hua Zhang
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Hua Zhang
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Zhihai Xie
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Zhihai Xie
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Zhihai Xie
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Zhihai Xie
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- Weihong Jiang
- Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China
- Weihong Jiang
- Otolaryngology Major Disease Research Key Laboratory of Hunan, Changsha, China
- Weihong Jiang
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
- Weihong Jiang
- Anatomy Laboratory of Division of Nose and Cranial Base, Clinical Anatomy Center of Xiangya Hospital, Central South University, Changsha, China
- DOI
- https://doi.org/10.3389/fsurg.2022.862178
- Journal volume & issue
-
Vol. 9
Abstract
BackgroundThe endoscopic endonasal approach to removing lesions in the nasal cavity and sinuses has become the modern first choice. However, if endoscopic surgery is performed without proper knowledge of sinus anatomy, there is a risk of residual lesions, recurrence, and even serious complications. Therefore, this article illustrates the importance of precise sinus opening guided by the natural sinus drainage pathway, using the anatomy of the frontal sinus (FS) and the frontal recess (FR) cells as an example.MethodA total of 82 sides cadaveric heads were dissected and analyzed, and the natural drainage pathways of the FR cells and FS were observed at 0°and 70°nasal endoscopic views, and the findings were summarized. The data of 79 patients who accepted endonasal endoscopic surgery (EES) guided by natural sinus drainage pathways to remove mucoceles in our department from January 2015 to January 2021 were retrospectively analyzed.ResultsTwo natural drainage pathways of the FR cells were discovered, identified, and named the medial pathway of the FR (MPFR) and the lateral pathway of the FR (LPFR). The 79 patients who accepted EES to remove mucoceles through the natural drainage pathways of FR cells and the FS showed significant improvement in clinical symptoms, and none of them had recurrence after surgery without serious complications.ConclusionThe EES of the FR cells and FS through the natural drainage pathways to remove the mucoceles facilitates exposure of the cells without residual lesions and without serious complications.
Keywords
