Revision Frontal Sinusotomy After Middle Turbinate Lateralization

Indications:

• Frontal sinusitis following ESS
• Lateralized middle turbinate

Highlights:

• Lysis of adhesions and mobilization/resection of middle turbinate
• Removal of Agger nasi cells
• Probing and enlargement of frontal ostium
• Optional placement of Silastic stent

Keep in Mind/Things to Remember:

• It has been often found and also proved that frontal sinus stents are not useful to improve long term patency.
• If this technique fails, a formal frontal sinus drill out (modified Lothrop) may be necessary.