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The safety and efficacy of intra-nasal ethmoidectomy

Published online by Cambridge University Press:  29 June 2007

D. J. Watson*
Affiliation:
Bristol
M. V. Griffiths
Affiliation:
Bristol
*
Mr. D. J. Watson, F.R.C.S., Registar in Otolaryngology, Southmead Hospital, Westbury-on-Tryn, Bristol BS10 5NB.

Abstract

Each of the three types of ethmoidectomy: intra-nasal, trans-antral and external, has its supporters and detractors who argue about the efficacy and safety of the procedures. One hundred and five ethmoidec-tomies for nasal polyps are reviewed retrospectively. Regardless of the approach used, approximately half of these had recurrence of polyps and some patients had several revision operations. There were six complications specific to the surgery. None was serious but most occurred with external ethmoidectomy. The limitations of ethmoidectomy for nasal polyps, the reasons for the good safety record and the best means of training juniors in the procedures are discussed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

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References

Dixon, H. S. (1983) Microscopic sinus surgery, transnasal ethmoidectomy and sphenoidectomy. The Laryngoscope, 93: 440444CrossRefGoogle ScholarPubMed
Eichel, B. S. (1982) The intranasal ethmoidectomy; a 12 year perspective. Otolaryngology, Head and Neck Surgery, 90: 540543,CrossRefGoogle ScholarPubMed
Flynn, J. T., Mitchell, K. B., Fuller, D. G., London, H. B. and Cohen, H. H. (1979) Ocular motility problems following intranasal surgery. Archives of Ophthalmology, 97: 453458.CrossRefGoogle ScholarPubMed
Freedman, P. N. and Kern, E. (1979) Complications of intranasal ethmoidectomy; a review of 1000 consecutive operations. The Laryngoscope, 89:421434.CrossRefGoogle Scholar
Maniglia, A. J., Chandler, J., Goodwin, W. J. and Flynn, J. (1981) Rare complications following ethmoidectomies; a report of eleven cases. The Laryngoscope, 91: 12341244.CrossRefGoogle ScholarPubMed
Mark, L. E. and Kennerdell, J. S. (1979) Medial rectus injury from intranasal surgery. Archives of Ophthalmology, 97: 459461.CrossRefGoogle ScholarPubMed
Ritter, F. N. (1982) The middle turbinate and its relationship to the ethmoidal labyrinth and the orbit. The Laryngoscope, 92: 479482.CrossRefGoogle Scholar