A novel approach to frontal sinus surgery: Treatment algorithm revisited

Peter Niclas Broer, Steven M. Levine, Neil Tanna, Katie E. Weichman, Gabriel Hershman, Steven J. Caldroney, Robert J. Allen, David L. Hirsch, Pierre B. Saadeh, Jamie P. Levine

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Access to the frontal sinus remains a challenging problem for the craniofacial surgeon. A wide array of techniques including minimally invasive endoscopic approaches have been described. Here we present our technique using medical modeling to gain fast and safe access for multiple indications. METHODS: Computer-aided surgery involves several distinct phases: planning, modeling, surgery, and evaluation. Computer-aided, precise cutting guides are designed preoperatively and allowed to perfectly outline and then cut the anterior table of the frontal sinus at its junction to the surrounding frontal bone. The outcomes are evaluated by postoperative three-dimensional computed tomography scan. RESULTS: Eight patients sustaining frontal sinus fractures were treated with the aid of medical modeling. Three patients (37.5%) had isolated anterior table fractures, and 4 (50%) had combined anterior and posterior table fractures, whereas 1 patient (12.5%) sustained isolated posterior table fractures. Operative times were significantly shorter using the cutting guides, and fracture reduction was more precise. There was no statistically significant difference in complication rates or overall patient satisfaction. CONCLUSIONS: The surgical approach to the frontal sinus can be made more efficient, safe, and precise when using computer-aided medical modeling to create customized cutting guides.

Original languageEnglish (US)
Pages (from-to)992-995
Number of pages4
JournalJournal of Craniofacial Surgery
Volume24
Issue number3
DOIs
StatePublished - May 2013
Externally publishedYes

Fingerprint

Frontal Sinus
Frontal Bone
Computer-Assisted Surgery
Fracture Fixation
Therapeutics
Operative Time
Patient Satisfaction
Tomography

Keywords

  • Computer-aided medical modeling
  • CT
  • Frontal sinus surgery

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Medicine(all)

Cite this

Broer, P. N., Levine, S. M., Tanna, N., Weichman, K. E., Hershman, G., Caldroney, S. J., ... Levine, J. P. (2013). A novel approach to frontal sinus surgery: Treatment algorithm revisited. Journal of Craniofacial Surgery, 24(3), 992-995. https://doi.org/10.1097/SCS.0b013e31828dcc3e

A novel approach to frontal sinus surgery : Treatment algorithm revisited. / Broer, Peter Niclas; Levine, Steven M.; Tanna, Neil; Weichman, Katie E.; Hershman, Gabriel; Caldroney, Steven J.; Allen, Robert J.; Hirsch, David L.; Saadeh, Pierre B.; Levine, Jamie P.

In: Journal of Craniofacial Surgery, Vol. 24, No. 3, 05.2013, p. 992-995.

Research output: Contribution to journalArticle

Broer, PN, Levine, SM, Tanna, N, Weichman, KE, Hershman, G, Caldroney, SJ, Allen, RJ, Hirsch, DL, Saadeh, PB & Levine, JP 2013, 'A novel approach to frontal sinus surgery: Treatment algorithm revisited', Journal of Craniofacial Surgery, vol. 24, no. 3, pp. 992-995. https://doi.org/10.1097/SCS.0b013e31828dcc3e
Broer, Peter Niclas ; Levine, Steven M. ; Tanna, Neil ; Weichman, Katie E. ; Hershman, Gabriel ; Caldroney, Steven J. ; Allen, Robert J. ; Hirsch, David L. ; Saadeh, Pierre B. ; Levine, Jamie P. / A novel approach to frontal sinus surgery : Treatment algorithm revisited. In: Journal of Craniofacial Surgery. 2013 ; Vol. 24, No. 3. pp. 992-995.
@article{41dd8312ca35445c970a503bf53eb7f8,
title = "A novel approach to frontal sinus surgery: Treatment algorithm revisited",
abstract = "BACKGROUND: Access to the frontal sinus remains a challenging problem for the craniofacial surgeon. A wide array of techniques including minimally invasive endoscopic approaches have been described. Here we present our technique using medical modeling to gain fast and safe access for multiple indications. METHODS: Computer-aided surgery involves several distinct phases: planning, modeling, surgery, and evaluation. Computer-aided, precise cutting guides are designed preoperatively and allowed to perfectly outline and then cut the anterior table of the frontal sinus at its junction to the surrounding frontal bone. The outcomes are evaluated by postoperative three-dimensional computed tomography scan. RESULTS: Eight patients sustaining frontal sinus fractures were treated with the aid of medical modeling. Three patients (37.5{\%}) had isolated anterior table fractures, and 4 (50{\%}) had combined anterior and posterior table fractures, whereas 1 patient (12.5{\%}) sustained isolated posterior table fractures. Operative times were significantly shorter using the cutting guides, and fracture reduction was more precise. There was no statistically significant difference in complication rates or overall patient satisfaction. CONCLUSIONS: The surgical approach to the frontal sinus can be made more efficient, safe, and precise when using computer-aided medical modeling to create customized cutting guides.",
keywords = "Computer-aided medical modeling, CT, Frontal sinus surgery",
author = "Broer, {Peter Niclas} and Levine, {Steven M.} and Neil Tanna and Weichman, {Katie E.} and Gabriel Hershman and Caldroney, {Steven J.} and Allen, {Robert J.} and Hirsch, {David L.} and Saadeh, {Pierre B.} and Levine, {Jamie P.}",
year = "2013",
month = "5",
doi = "10.1097/SCS.0b013e31828dcc3e",
language = "English (US)",
volume = "24",
pages = "992--995",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - A novel approach to frontal sinus surgery

T2 - Treatment algorithm revisited

AU - Broer, Peter Niclas

AU - Levine, Steven M.

AU - Tanna, Neil

AU - Weichman, Katie E.

AU - Hershman, Gabriel

AU - Caldroney, Steven J.

AU - Allen, Robert J.

AU - Hirsch, David L.

AU - Saadeh, Pierre B.

AU - Levine, Jamie P.

PY - 2013/5

Y1 - 2013/5

N2 - BACKGROUND: Access to the frontal sinus remains a challenging problem for the craniofacial surgeon. A wide array of techniques including minimally invasive endoscopic approaches have been described. Here we present our technique using medical modeling to gain fast and safe access for multiple indications. METHODS: Computer-aided surgery involves several distinct phases: planning, modeling, surgery, and evaluation. Computer-aided, precise cutting guides are designed preoperatively and allowed to perfectly outline and then cut the anterior table of the frontal sinus at its junction to the surrounding frontal bone. The outcomes are evaluated by postoperative three-dimensional computed tomography scan. RESULTS: Eight patients sustaining frontal sinus fractures were treated with the aid of medical modeling. Three patients (37.5%) had isolated anterior table fractures, and 4 (50%) had combined anterior and posterior table fractures, whereas 1 patient (12.5%) sustained isolated posterior table fractures. Operative times were significantly shorter using the cutting guides, and fracture reduction was more precise. There was no statistically significant difference in complication rates or overall patient satisfaction. CONCLUSIONS: The surgical approach to the frontal sinus can be made more efficient, safe, and precise when using computer-aided medical modeling to create customized cutting guides.

AB - BACKGROUND: Access to the frontal sinus remains a challenging problem for the craniofacial surgeon. A wide array of techniques including minimally invasive endoscopic approaches have been described. Here we present our technique using medical modeling to gain fast and safe access for multiple indications. METHODS: Computer-aided surgery involves several distinct phases: planning, modeling, surgery, and evaluation. Computer-aided, precise cutting guides are designed preoperatively and allowed to perfectly outline and then cut the anterior table of the frontal sinus at its junction to the surrounding frontal bone. The outcomes are evaluated by postoperative three-dimensional computed tomography scan. RESULTS: Eight patients sustaining frontal sinus fractures were treated with the aid of medical modeling. Three patients (37.5%) had isolated anterior table fractures, and 4 (50%) had combined anterior and posterior table fractures, whereas 1 patient (12.5%) sustained isolated posterior table fractures. Operative times were significantly shorter using the cutting guides, and fracture reduction was more precise. There was no statistically significant difference in complication rates or overall patient satisfaction. CONCLUSIONS: The surgical approach to the frontal sinus can be made more efficient, safe, and precise when using computer-aided medical modeling to create customized cutting guides.

KW - Computer-aided medical modeling

KW - CT

KW - Frontal sinus surgery

UR - http://www.scopus.com/inward/record.url?scp=84880107090&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880107090&partnerID=8YFLogxK

U2 - 10.1097/SCS.0b013e31828dcc3e

DO - 10.1097/SCS.0b013e31828dcc3e

M3 - Article

C2 - 23714930

AN - SCOPUS:84880107090

VL - 24

SP - 992

EP - 995

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 3

ER -