Article Type
Article
Abstract
The frontal recess area has always been considered the most difficult area to be dissected due to its complex and varied anatomy. Axillary flap approach for frontal sinus was first used in 2002. It was claimed that this approach is an excellent approach for frontal sinus using 0° endoscope. This study was done to assess the axillary flap approach for chronic frontal sinusitis. Thirty patients (56 sides) with computerized tomography (CT) evidence of frontal sinus disease underwent axillary flap procedure to the frontal recess between March 2010 and January 2012. The frontal sinus ostium was identified in 100% of frontal sinuses. At the end of follow up period, recurrence of frontal sinus symptoms was encountered in only 2 sides (3.6%) and minimal disease recurrence in postoperative CT in 6 sides (10.7%), all were managed medically and no need for reoperation. It was found that the axillary flap approach is easy, safe and gives excellent anterior access to the frontal recess area and frontal sinus ostium. Also, coverage of the raw area of bone using axillary flap prevents scarring and adhesions in the frontal recess.
Keywords: Axillary flap, frontal recess, endoscopic frontal sinus surgery.
Recommended Citation
Sabry R, Reda R, Abdelmonem MA,
et al.
Management of Chronic Frontal Sinusitis using Axillary Flap Technique.
Pan Arab J. Rhinol.
2012;
2 : -.
Available at:
https://pajr.researchcommons.org/journal/vol2/iss2/4
