Section: 
Reviews
ReviewsEvolution of ideas about drainage pathway of frontal sinus and configuration of its surrounding structures
A. I. Nerovnyi (1), E. V. Polyukhov (1)
(1) Burdenko Voronezh State Medical University, Voronezh, 394036, Russia
UDK: УДК 616.212.4
DOI: https://doi.org/10.18692/1810-4800-2022-3-86-95
ABSTRACT
The development and implementation of endoscopic techniques and instruments into rhinosurgery have brought this branch of medicine to a qualitatively new level. The access to the frontal sinus is currently considered the pinnacle of skill. This is due to the pronounced anatomical variability of the anterior ethmoid labyrinth and close location of anatomically significant structures; intraoperative damage of these structures can result in severe consequences for the patient. Attempts to regulate frontoethmoidal anatomy are still in progress currently; however, there is no yet single classification that satisfies most specialists and meets the requirements of practice. In spite of urgency of the issue, it has received undeservedly little attention in the Russian scientific literature. The aim of this paper is to review in detail options to systematize structures of the ethmoidal labyrinth involved in the formation of the boundaries of the frontal recess and the drainage pathway of the frontal sinus. Special attention is paid, in particular, to the aspects of systematization of the anatomical elements of the anterior ethmoid labyrinth and the frontal recess. The authors conclude that the only way out for a practical doctor is a constant continuous expansion of the theoretical and practical base and careful preoperative preparation in each case, using the most convenient classification system for the rhinosurgeon.
Publication date:
27.06.2022
Keywords:
frontal sinus, frontal recess, frontal sinus drainage pathway, ethmoid labyrinth, rhinosurgery, anatomical nomenclature. For citation:
Nerovnyi A. I., Polyukhov E. V. Evolution of ideas about drainage pathway of frontal sinus and configuration of its surrounding structures. Rossiiskaya otorinolaringologiya. 2022;21(3):86-95. https://doi.org/10.18692/1810-4800-2022-3-86-95