Sinusitis surgery

Chronic sinusitis: Surgical Approach
The surgical approach to the paranasal sinuses depends on the particular sinus which needs a surgical intervention and on the particular type of manipulation necessary. For this reason there are many different accesses and incisions to perform the reqired intervention in a given paranasal sinus. Examples of the approaches include: 1. Trans oral eg. the Caldwell Luc Procedure 2. Trans Nasal eg. the Naso-antral lavage and window, ethmoidectomy, sphenoidectomy. 3. Skin incision eg. Lynch procedure, osteoplastic flap, Weber Furguson approach, frontal trephine. When entry is gained into the paranasal sinus, surgery can be extended to another sinus eg. the transantral approach to the ethmoids and the sphenoid. Also it can be extended to other adjacent anatomical structures eg. transantral ligation of internal maxillary artery and transantral approach to the pterygopalatine fossa and sphenopalatine ganglion.