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Comprehensive Otolaryngology

Frontal Sinus Surgery for the General Otolaryngologist

Wednesday, October 4, 2023
9:15 AM - 10:15 AM East Coast USA Time
Location: 101AB

    Moderator(s)

  • AT

    Abtin Tabaee, MD

    Associate Professor of Otolaryngology
    Weill Cornell Medicine
    New York, NY, United States

    • Panelist(s)

  • Gurston G. Nyquist, MD

    Professor
    Thomas Jefferson University
    Philadelphia, PA, United States

  • Jeffrey D. Suh, MD

    Professor
    UCLA Department of Head and Neck Surgery
    Los Angeles, CA, United States

Disclosure(s):
Abtin Tabaee, MD: No relevant relationships to disclose.
Jeffrey D. Suh, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Frontal sinus surgery is a challenging component of operative care for chronic rhinosinusitis (CRS). The anatomic variability, need for angled dissection, proximity to critical structures and narrow confines of the frontal recess represent obstacles to performance of a safe and complete dissection. Adding to the evolving complexity of surgical management of frontal sinus disease are the expanding indications for advanced endoscopic approaches including the Draf IIb and III procedures. As comprehensive otolaryngologists and rhinologist continue to refine the management strategies for CRS, the ability to preform successful surgery on the frontal recess remains paramount. This course presents a expert discussion of the various surgical approaches to the frontal sinus. A framework of the relevant anatomic and radiologic principles will be reviewed including demonstration of the frontal recess variations and how to translate preoperative imaging to a surgical plan. Operative principles, techniques, and instrumentation for endoscopic, balloon and open approaches will be discussed in detail. Surgical videos demonstrating the different procedures will be narrated by the expert panel. A case-based discussion of surgical decision making for the spectrum of inflammatory frontal sinus disease will be presented, including determining the correct approach for a given disease pattern. The primary emphasis of the panel discussion will be to provide a practical and clinically focused foundation in performing effective frontal sinus surgery.

OUTCOME OBJECTIVE 1: Demonstrate the different endoscopic, open and balloon approaches to the frontal sinus, including indications, technique, and instrumentation.

OUTCOME OBJECTIVE 2: Review the anatomic and radiographic principles relevant for frontal sinus surgery. A framework for translating preoperative imaging to an intraoperative plan will be presented.

OUTCOME OBJECTIVE 3: Present a framework for applying the different frontal sinus surgical procedures to the various patterns of inflammatory chronic rhinosinusitis.

BACKGROUND STATEMENT: Frontal sinus surgery is a challenging aspect of surgical management for chronic rhinosinusitis, including in the general otolaryngology community. A discussion of the surgical principles of frontal sinus surgery targeting the comprehensive otolaryngology community has importance.