Tajudeen Bobby A, Adappa Nithin D
Department of Otorhinolaryngology-Head and Neck Surgery, The University of Pennsylvania, 3400 Spruce Street, 5 Ravdin, Philadelphia, PA 19104, USA.
Department of Otorhinolaryngology-Head and Neck Surgery, The University of Pennsylvania, 3400 Spruce Street, 5 Ravdin, Philadelphia, PA 19104, USA.
Otolaryngol Clin North Am. 2016 Aug;49(4):945-9. doi: 10.1016/j.otc.2016.03.018. Epub 2016 Jun 18.
Frontal recess dissection proposes many challenges to the surgeon. These challenges stem from its highly variable nature, small caliber, difficult visualization, and proximity to vital structures such as the skull base and orbit. As such, delicate mucosal-sparing dissection of the frontal recess with proper instrumentation is paramount to minimize scar formation and ensure patency. Here, the article explores key instrumentation in frontal recess surgery with an emphasis on hand instruments and adjunctive technologies.