Two Cases of Isolated Frontal Septal Cell Inflammation Treated with the Draf IIb Procedure
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The frontal septal cell (FSC) is a medially based air cavity of the anterior ethmoid or the inferior frontal sinus, located in the interfrontal sinus septum. FSC pathologies are extremely rare although they are common frontal recess cells. We report on two patients with isolated FSC sinusitis presenting with frontal headache who were treated with Draf IIb endoscopic sinus surgery (ESS). Paranasal sinus computed tomography of the patients revealed a clear frontal sinus and FSC soft tissue density. The patients underwent a Draf IIb procedure through left-sided approach to treat FSC inflammation. After surgery, the patients no longer complained of headache, and the widened outflow tract was maintained without narrowing in endoscopic views during 2 years of followup. When a patient presents with continuous frontal headache, FSC inflammation should be considered. It can be successfully treated by Draf IIb ESS
Abstract
The frontal septal cell (FSC) is a medially based air cavity of the anterior ethmoid or the inferior frontal sinus, located in the interfrontal sinus septum. FSC pathologies are extremely rare although they are common frontal recess cells. We report on two patients with isolated FSC sinusitis presenting with frontal headache who were treated with Draf IIb endoscopic sinus surgery (ESS). Paranasal sinus computed tomography of the patients revealed a clear frontal sinus and FSC soft tissue density. The patients underwent a Draf IIb procedure through left-sided approach to treat FSC inflammation. After surgery, the patients no longer complained of headache, and the widened outflow tract was maintained without narrowing in endoscopic views during 2 years of followup. When a patient presents with continuous frontal headache, FSC inflammation should be considered. It can be successfully treated by Draf IIb ESS
참고문헌 (7)
- Wormald PJ, "The International Frontal Sinus Anatomy Classification (IFAC) and Classification of the Extent of Endoscopic Frontal Sinus Surgery (EFSS)", International Forum of Allergy & Rhinology, 6(7), pp.677~696 (2016)
- Som PM, "Interfrontal sinus septal cell : a cause of obstructing inflammation and mucoceles", AJNR American Journal of Neuroradiology, 29(7), pp.1369~1371 (2008)
- Chua AJK, "Transnasal frontal intersinus septum takedown for frontal sinus pyocele", European Annals of Otorhinolaryngology, Head and Neck Diseases, 136(4), pp.321~323 (2019)
- Milonski J, "Inflammation of the frontal intersinus septal air cell as a cause of headaches", International Journal of Surgery Case Reports, 5(12), pp.1292~1294 (2014)
- Van Alyea OE, "Frontal cells : an anatomic study of these cells with consideration of their clinical significance", Archives of Otolaryngology-Head & Neck Surgery, 34(1), pp.11~23 (1941)
- Som PM, "The frontal intersinus septal air cell : a new hypothesis of its origin", AJNR American Journal of Neuroradiology, 29(6), pp.1215~1217 (2008)
- Kubota K, "Frontal recess anatomy in Japanese subjects and its effect on the development of frontal sinusitis : computed tomography analysis", Journal of Otolaryngology - Head & Neck Surgery, 44, pp.21~ (2015)