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Growing Obsolescence of the Frontal Sinus Obliteration Procedure
Arch Otolaryngol Head Neck Surg. 2005;131:532-533.
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Over the past 25 years, endoscopic sinus surgery has rapidly matured. Endoscopic middle meatus antrostomy has replaced the Caldwell-Luc procedure, and endoscopic total ethmoidectomy has triumphed over external ethmoidectomy. The sphenoid sinus is now easily handled endoscopically, and endoscopic frontal sinus surgeons are constantly transcending previous limitations. The question raised by Dr Sillers is appropriate: Is the time-honored osteoplastic flap and frontal sinus obliteration an "operation for the archives?"1-2
Figure appears in full text version.
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William E. Davis, MD, MSPH
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In medicine, change can occur abruptly. When Messerklinger3 published his book on nasal endoscopy in 1978, the Caldwell-Luc procedure was the standard surgical treatment for chronic maxillary sinusitis. By 1986, it was as if a page in history had been turned, and functional endoscopic sinus surgery (FESS) had permanently replaced the Caldwell-Luc operation; FESS seemed a perfect fit for the contemporary surgeons mindset toward less invasive outpatient surgery and lower morbidity. Originally, FESS had obvious limitations, . . . [Full Text of this Article]
AUTHOR INFORMATION
William E. Davis, MD, MSPH
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