Section: 
From practice
From practiceCase report of lothrop procedure in patient with recurrent frontal sinus mucocele
S. S. Gaidukov (1), A. V. Voronov (1), A. Yu. Golubev (1), K. I. Sapova (1), A. N. Naumenko (2)
(1) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russia, (2) Sokolov North-Western District Scientific and Clinical Center, Federal Medical and Biological Agency, Saint Petersburg, 194291, Russia
UDK: УДК 616.216.2-003.218-089-072.1
DOI: https://doi.org/10.18692/1810-4800-2022-4-98-102
ABSTRACT
A clinical case in patient with a recurrent frontal sinus mucocele is described. An extended endoscopic frontotomy of the Draf IIb type was performed; a mucoperiosteal flap was used to prevent postoperative stenosis of the neo-ostium. However, within a year after the intervention, ostium stenosis developed with recurrence of the mucocele due to severe hyperostosis, which required repeated surgical treatment. The method of choice was an extended frontotomy of the Draf III type using a combination of pedicled flap and free mucosal graft to reduce the risk of restenosis of the frontal sinus ostium.
Publication date:
18.08.2022
Keywords:
mucocele, frontal sinus, extended frontotomy, Draf III, Draf IIb, vascularized flap. For citation:
Gaidukov S. S., Voronov A. V., Golubev A. Yu., Sapova K. I., Naumenko A. N. Case report of lothrop procedure in patient with recurrent frontal sinus mucocele. Rossiiskaya otorinolaringologiya. 2022;21(4):98-102. https://doi.org/10.18692/1810-4800-2022-4-98-102