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. 2022 Dec;74(Suppl 3):4598-4602.
doi: 10.1007/s12070-021-02896-z. Epub 2021 Oct 3.

The C-S Approach for The Management of Median or Paramedian Frontal Sinus Lesion

Luciano Maria Catalfamo  1 , Calogero Scozzaro  1   2 , Danilo De Rinaldis  1 , Chiara Romeo  1 , Samuele Cicchiello  1 , Carla Nava  1 , Antonella Squillacioti  1 , Francesco Saverio De Ponte  1
Affiliations

The C-S Approach for The Management of Median or Paramedian Frontal Sinus Lesion

Luciano Maria Catalfamo et al. Indian J Otolaryngol Head Neck Surg. 2022 Dec.

Abstract

The frontal sinus is one the most complex of the paranasal sinuses, its proximity to the cranial vault and the orbit cause that frontal sinus pathologies can progress to involve these structures and lead to significant morbidity, or even death. Surgical management of the frontal sinus is technically challenging, the most commonly used surgical approaches are coronal, butterfly, gullwing and suprabrow. The purpose of this article is to propose the C-S approach, an interesting alternative to the gullwing approach for the managing of median and paramedian frontal sinus lesions or isolated displaced fractures of the anterior wall. The main advantage of this technique is represented by the fact that it follows the new tension lines described in the literature, a curved vertical line that follows the glabellar frown.

Keywords: Fractures; Frontal sinus; Incision; Mucocele; Tumors.

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Conflict of interest statement

Conflicts of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Fig. 1
Fig. 1
C-S incision lines (S in blue and C in red)
Fig. 2
Fig. 2
Clinical patient’s presentation
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Fig. 3
Pre-operative CT
Fig. 4
Fig. 4
Incision lines
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Fig. 5
Lesion and I trigeminal branch
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Fig. 6
Medpor-coated titanium mesh
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Fig. 7
Hemostasis and revision
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Fig. 8
Six weeks post-operation
See this image and copyright information in PMC

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