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Endoscopic Surgery of the Nasal FontanelA New Approach to Recurrent Sinusitis
Nico J. A. Straatman, MD;
Cornelius T. Buiter, MD
Arch Otolaryngol. 1981;107(5):290-293.
Abstract
For the treatment of recurrent maxillary sinusitis, the middle meatus offers a good site to make an extra ostium, ie, the posterior nasal fontanel. The fontanel is situated near the natural maxillary ostium in the middle meatus, and this site is a more physiologic place, therefore, to create an antrostomy compared with the inferior meatus. Moreover, a surgical ostium has little inclination to become obliterated in this area. A special instrument was designed to perforate the fontanel. Nasoendoscopy gives an excellent view of the area and makes it possible to avoid complications.
(Arch Otolaryngol 1981;107:290-293)
Author Affiliations
From the Department of Otorhinolaryngology, University Hospital, Groningen, the Netherlands.
Footnotes
Accepted for publication Oct 15, 1980.
Reprint requests to Department of Otorhinolaryngology, University Hospital, PO Box 30.001, 9700 RB Groningen, the Netherlands (Dr Straatman).
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