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Article Type

Article

Abstract

Background
In spite of recent evolution of endoscopic frontal sinus surgery, some cases are still challenging due to the difficulty to reach the lateral frontal sinus even with Draf type III. This study aims to
highlight the bi‑portal approach to the frontal sinus disease.
Materials and methods
This study is a prospective study that was conducted on four patients with mean age of 56 years. Two cases were presented with allergic fungal sinusitis, one case showed an inverted papilloma and a single case of granulomatous fungal sinusitis. All patients underwent bi‑portal surgery which entailed endoscopic frontal sinus surgery either Draf IIb or III plus as an external approach through the upper eyelid.
Results
Complete removal of the disease with no major postoperative complications, with no detection of recurrence during the 12–30‑month‑follow‑up period.
Conclusion
Bi‑portal frontal sinus approach is an easy noninjurious technique with very little cosmetic drawbacks allowing rhinologists to access the whole aspects of the frontal sinus, especially
the lateral part.
Keywords:
bi‑portal, endoscopic, eyelid, frontal sinus.

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