Surgery for acute complicated sinusitis and chronic sinusitis with or without polyps
is done mostly using endoscopic tools and techniques. However, on occasion, it is
necessary to use external sinus approaches and techniques either in combination with
endoscopic techniques or alone for particularly difficult patients, such as sinusitis
with tumors, invasive fungal sinusitis, lateral frontal sinus disease, osteoma, periorbital
abscess, etc. This issue and a subsequent journal issue will concentrate on summarizing
all the external sinus surgery techniques and approaches the sinus surgeon would require
to have a complete sinus surgery armamentarium. Many of these highlighted techniques
are classic and were described by very skilled surgeons over many years and are still
useful. The names of Montgomery, Lynch, Sewall, Boyden, Pearson, Caldwell and Luc
are a few which immediately come to mind. Because these techniques and approaches
are rarely taught in residency programs today, it is timely and educationally important
that they are reintroduced and highlighted in Operative Techniques in Otolaryngology–Head and Neck Surgery as a surgical resource. Residents and practicing sinus surgeons can review these
procedures for potential future consideration.
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