Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T15:54:05.508Z Has data issue: false hasContentIssue false
  • English
  • Français

Extended applications of the endoscopic modified Lothrop procedure

Published online by Cambridge University Press:  18 July 2016

N Choudhury ,
A Hariri  and
H Saleh
N Choudhury*
Affiliation:
Department of ENT, East Surrey Hospital, London, UK
A Hariri
Affiliation:
Department of ENT, Manchester Royal Infirmary Hospital, UK
H Saleh
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
*
Address for correspondence: Ms Natasha Choudhury, Department of ENT, Charing Cross Hospital, Fulham Palace Road, London W6 9NT, UK Fax: 01372 275 894 E-mail: Natashamasood1@aol.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The endoscopic modified Lothrop procedure is mainly used for refractory frontal sinusitis. However, we have used it as an access procedure to facilitate treatment for an extended range of additional frontal sinus pathologies.

Methods:

A retrospective review of patients who underwent the endoscopic modified Lothrop procedure for ‘alternative’ frontal sinus pathologies was conducted. Patient data were reviewed. The main outcome parameter measured was signs of recurrence.

Results:

Twelve patients (6 males, 6 females) from a 7-year study period, with a mean age of 45.2 years (range, 16–78 years), were analysed. The surgical indications included frontoethmoidal mucoceles, cerebrospinal fluid leaks within the frontal sinus, cystic fibrosis, frontal sinus osteoma, frontal sinus ossifying fibroma and frontal silent sinus syndrome. The mean follow-up period was 33.3 months. There were no known recurrences.

Conclusion:

We have used the endoscopic modified Lothrop procedure for a range of frontal sinus pathologies, safely and effectively, with no peri-operative complications.

Keywords

Frontal SinusPathologyTreatment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 9 , September 2016 , pp. 827 - 832
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the International Society of Infection and Allergy of the Nose (‘ISIAN’) and the International Rhinology Society (‘IRS’) meeting, 20–24 November 2014, Dubai, United Arab Emirates.

References

1 Draf, W. Endonasal micro-endoscopic frontal sinus surgery: the Fulda concept. Oper Tech Otolaryngol Head Neck Surg 1991;2:234–40CrossRefGoogle Scholar
2 Gross, WE, Gross, CW, Becker, D, Moore, D, Phillips, D. Modified transnasal endoscopic Lothrop procedure as an alternative to frontal sinus obliteration. Otolaryngol Head Neck Surg 1995;113:427–34CrossRefGoogle ScholarPubMed
3 Middleton, WG, Briant, TD, Fenton, RS. Frontal sinusitis--a 10 year experience. J Otolaryngol 1985;14:197–200 Google Scholar
4 Stammberger, H, Posawetz, W. Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 1990;247:63–76 CrossRefGoogle ScholarPubMed
5 Rajapaksa, SP, Ananda, A, Cain, T, Oates, L, Wormald, PJ. The effect of the modified endoscopic Lothrop procedure on the mucociliary clearance of the frontal sinus in an animal model. Am J Rhinol 2004;18:183–7Google Scholar
6 Wormald, PJ, Ananda, A, Nair, S. The modified endoscopic Lothrop procedure in the treatment of complicated chronic frontal sinusitis. Clin Otolaryngol Allied Sci 2003;28:215–20CrossRefGoogle ScholarPubMed
7 Naidoo, Y, Bassiouni, A, Keen, M, Wormald, PJ. Long-term outcomes for the endoscopic modified Lothrop/Draf III procedure: a 10-year review. Laryngoscope 2014;124:43–9Google Scholar
8 Anvarali, J, Hassaan, A, Saleh, HA. Endoscopic modified Lothrop procedure for repair of lateral frontal sinus cerebrospinal fluid leak. J Laryngol Otol 2009;123:145–7Google Scholar
9 Timperley, DG, Banks, C, Robinson, D, Roth, J, Sacks, R, Harvey, RJ. Lateral frontal sinus access in endoscopic skull-base surgery. Int Forum Allergy Rhinol 2011;1:290–5CrossRefGoogle ScholarPubMed
10 Sonnenburg, RE, Senior, BA. Revision endoscopic frontal sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2004;12:49–52 Google Scholar
11 Anderson, CM. External operation of the frontal sinus: cause of failure. Arch Otolaryngol 1932;15:739–45Google Scholar
12 Kuhn, FA. An integrated approach to frontal sinus surgery. Otolaryngol Clin North Am 2006;39:437–61CrossRefGoogle ScholarPubMed
13 Virk, JS, Elmiyeh, B, Saleh, HA. Endoscopic management of cerebrospinal fluid rhinorrhoea: the Charing Cross experience. J Neurol Surg B Skull Base 2013;74:61–7Google ScholarPubMed
14 Mackay, IS, Djazaeri, B. Chronic sinusitis in cystic fibrosis. J R Soc Med 1994;87:17–19 Google Scholar
15 Jaberoo, MC, Pulido, MA, Saleh, HA. Modified Lothrop procedure in cystic fibrosis patients: does it have a role? J Laryngol Otol 2013;127:666–9CrossRefGoogle ScholarPubMed
16 Rowe-Jones, JM, Mackay, IS. Endoscopic sinus surgery in the treatment of cystic fibrosis with nasal polyposis. Laryngoscope 1996;106:1540–4Google Scholar
17 Khong, JJ, Malhotra, R, Selva, D, Wormald, PJ. Efficacy of endoscopic sinus surgery for paranasal sinus mucocele including modified endoscopic Lothrop procedure for frontal sinus mucocele. J Laryngol Otol 2004;118:352–6Google Scholar
18 Nakagawa, T, Ito, J. Endoscopic modified Lothrop procedure for postoperative frontal mucocele. Acta Otolaryngol Suppl 2007;557:51–4CrossRefGoogle Scholar
19 Georgalas, C, Hansen, F, Videler, WJ, Fokkens, WJ. Long term results of Draf type III (modified endoscopic Lothrop) frontal sinus drainage procedure in 122 patients: a single centre experience. Rhinology 2011;49:195–201 Google Scholar
20 Chen, C, Selva, D, Wormald, PJ. Endoscopic modified Lothrop procedure: an alternative for frontal osteoma excision. Rhinology 2004;42:239–43Google ScholarPubMed
21 Seiberling, K, Floreani, S, Robinson, S, Wormald, PJ. Endoscopic management of frontal sinus osteomas revisited. Am J Rhinol Allergy 2009;23:331–6Google Scholar
22 Naik, RM, Khemani, S, Saleh, HA. Frontal silent sinus syndrome. Otolaryngol Head Neck Surg 2013;148:354–5Google Scholar
23 Anderson, P, Sindwani, R. Safety and efficacy of the endoscopic modified Lothrop procedure: a systematic review and meta-analysis. Laryngoscope 2009;119:1828–33Google Scholar