What is Lothrop procedure?

The modified Lothrop procedure or frontal sinus drill-out is a completely intranasal technique that creates a common frontonasal communication to allow drainage and ventilation of the chronically infected frontal sinus. It is an effective alternative to the classic frontal sinus obliteration.

What is draf 3 procedure?

This procedure involves removal of the inferior portion of the interfrontal septum, the superior part of the nasal septum, and the frontal sinus floor to the orbit laterally. The lamina papyracea and posterior walls of the frontal sinus remain intact.

What is frontal sinus drill out?

The surgery is done entirely through the nose, with no external incisions or bruising. Using endoscopic equipment, inflamed tissue and polyps are removed and the natural openings of the sinuses widened. The thick bone separating the frontal sinuses is drilled to create a wide common frontal sinus cavity.

What is frontal sinusotomy?

What is endoscopic frontal sinusotomy? Endoscopic frontal sinusotomy involves the use of telescopes and cameras through the nose to reach the anterior ethmoid sinus, and then the frontal sinus above. These areas are opened and disease is removed.

What is an osteoplastic flap?

Background The osteoplastic flap provides access to pathology of the frontal sinus and is often performed with obliteration, which can result in significant long-term complications. Objective To describe the authors’ approach to osteoplastic flap without obliteration.

What is medial Maxillectomy?

Medial maxillectomy is a procedure historically used for the removal of benign and low-grade malignant tumors of the medial aspect of the maxilla, lateral nasal wall, ethmoid sinuses along the lamina papyracea, and the lacrimal sac.

What is sinus surgery called?

Septoplasty. Septoplasty is an outpatient procedure aimed at correcting issues related to the midline of the nose.

What does sinus surgery involve?

Surgery involves enlarging the openings between the sinuses and the inside of the nose so air can get in and drainage can get out. It may involve removing infected sinus tissue, bone or polyps.

What is a maxillary sinusotomy?

Summary. Flap sinusotomy of the frontonasal and maxillary sinuses is commonly performed for treatment of paranasal sinus cysts, neoplasia, ethmoid hematoma, repulsion of cheek teeth, sinusitis, and a variety of less common conditions. Anesthetic management for a flap sinusotomy is relatively straightforward.

What is the CPT code for sinusotomy?

frontal sinusotomy – new code 31253. sphenoidotomy without tissue removal – new code 31257.

What is Osteoplastic?

osteoplastic. / (ˌɒstɪəˈplæstɪk) / adjective. of or relating to osteoplasty. of or relating to the formation of bone.

What is a total Ethmoidectomy?

A complete ethmoidectomy is the removal of the anterior and posterior ethmoid air cells. ▪ A complete ethmoidectomy follows a maxillary antrostomy and is one component of complete functional endoscopic sinus surgery.

How does the endoscopic modified Lothrop procedure work?

The endoscopic modified Lothrop procedure creates a common nasofrontal drainage pathway by resecting the superior nasal septum and removing the frontal sinus floors bilaterally to create a common drainage space.

What is the modified Lothrop procedure for sinus surgery?

Modified Lothrop Procedure for Sinus Surgery. Endoscopic sinus surgery is a minimally invasive, precise surgery using telescopes, micro-debrider and radio frequency treatment for acute and chronic sinus infections / headaches (children and adults), scarless blocked tear duct surgery, closure of brain fluid leakage,…

Is there a modified version of the DRAF procedure?

Although this procedure was successful in 29 out of 30 patients, the technique was considered too technically difficult for most surgeons to master and it was not until Draf in 1991 7 and Gross in 1995 8, 9 published series of patients using a modified version of the technique that interest was renewed.