Khoshsirat Shahrokh, Samadian Mohammad, Zandi Afsoon, Mirzaei Ilia, Mousavian Seyed Taher
Department of Otolaryngology, Head and Neck Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Otolaryngology, Hearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Case Rep Otolaryngol. 2025 Sep 4;2025:7636938. doi: 10.1155/crot/7636938. eCollection 2025.
Draf III is a surgical technique which uses endoscopic approach to access the frontal sinus, by leaving almost no skin markings and having minimal side effects. The technique is most frequently indicated for frontal chronic refractory sinusitis, followed by mucoceles and skull base or paranasal tumors. The aim of Draf III is to drain frontal sinus masses and collections. In this report, we present a 16-year-old male with progressive headaches, dizziness, nausea, and vomiting whose imaging revealed left-predominant bilateral frontal epidural mucocele and abscess. A Draf III approach was chosen, to which bilateral supraorbital trephinations were added for better drainage of the collection. Mucosal grafts were used to avoid crusting and stenosis. Post-operation included a course of antibiotics and steroids with three sessions. On the twelfth-month follow-up, the patient was doing well and had no complaints. A modified Draf III approach is effective for the management of bilateral frontal mucopyocele in treatment-resistant cases, without causing any major complications.
Draf III是一种手术技术，采用内镜入路进入额窦，几乎不留下皮肤标记且副作用最小。该技术最常用于额部慢性难治性鼻窦炎，其次是黏液囊肿以及颅底或鼻旁肿瘤。Draf III的目的是引流额窦肿物和积液。在本报告中，我们介绍了一名16岁男性，有进行性头痛、头晕、恶心和呕吐症状，影像学检查显示以左侧为主的双侧额部硬膜外黏液囊肿和脓肿。选择了Draf III入路，并增加了双侧眶上环锯术以更好地引流积液。使用黏膜移植物以避免结痂和狭窄。术后给予一个疗程的抗生素和类固醇药物，分三次给药。在十二个月的随访中，患者情况良好，无任何不适主诉。改良的Draf III入路对于治疗难治性双侧额部黏液脓囊肿有效，且不会引起任何重大并发症。
