How to identify the anterior cribriform plate in the medial approach to the frontal sinus - 15/05/21

Doi : 10.1016/j.anorl.2020.10.009

V. Patron ^a,⁎ , L.-M. Roussel ^a, S. Moreau ^a,^b, M. Hitier ^a,^b
^a Service d’oto-rhino-laryngologie et de chirurgie cervico-faciale, CHU de Caen, 14000 Caen, France
^b UNICAEN, laboratoire d’anatomie, Normandie université, 14000 Caen, France

^⁎Corresponding author. Service d’ORL et de chirurgie cervico-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.Service d’ORL et de chirurgie cervico-faciale, CHU de Caenavenue de la Côte-de-NacreCaen14000France

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

pages	4
Iconographies	5
Vidéos	0
Autres	0

Abstract

Draf III frontal sinusotomy is one of the most complex surgical procedures on the frontal sinus, designed to limit the risks of restenosis by ensuring unification of the two ostia and resection of the floor of the sinus. This procedure requires a good knowledge of anatomy and sufficient surgical expertise to avoid the risk of CSF leak and to limit the risk of restenosis. The surgeon can use various landmarks, consisting of foramina, bone grooves and arteries located on the anterior part of the cribriform plate to guide the procedure. The purpose of this technical note is to explain the use of these landmarks to ensure safe Draf III frontal sinusotomy via a medial approach.

Le texte complet de cet article est disponible en PDF.

Keywords : Anatomy, Cribriform plate, Skull base, Draf III, Frontal sinus, Olfactory cleft