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Georgalas, Christos et al.: 2022 The Frontal Sinus DOI: 10.1055/b-0042-184549
Section V Controversial Topics in Current Practice

50 Pathophysiology of the Failed Frontal Sinus and Its Implications for Medical Management

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Editors: Georgalas, Christos; Sama, Anshul

Authors: Abuzeid, Waleed M.; Adappa, Nithin D.; Ahmed, Shahzada; Alasousi, Fahad; Alobid, Isam; Al-Rasheed, Abdulaziz; Alt, Jeremiah A.; Avdeeva, Klementina; Banks, Catherine; Barnes, Martyn; Basak, Hazan; Batra, Pete S.; Battaglia, Paolo; Bernal-Sprekelsen, Manuel; Beton, Suha; Brand, Yves; Breedveld, Paul; Briner, Hans Rudolf; von Buchwald, Christian; Carrau, Ricardo L.; Carrie, Sean; Castelnuovo, Paolo; Chatzinakis, Vasileios; Chen, Philip A.; Chute, Deborah; Clarke, Caroline S.; Conley, David B.; Constable, James; Craig, John R.; Dadgostar, Anali; Dallan, Iacopo; DelGaudio, John M.; Diamantopoulos, Ioannis I.; Badawey, M Reda El; Eloy, Jean Anderson; Fakhri, Samer; Fastenberg, Judd H.; Fazio, Enrico; Felding, Ulrik A.; Fried, Marvin P.; Getz, Anne E.; Ghogomu, Nsangou; Gotlib, Tomasz; Gudis, David A.; Hadjihannas, Edward; Harvey, Richard J.; Herman, Philippe; Hettige, Roland; Hopkins, Claire; Husain, Qasim; Ioannidis, Dimitris; Jankowski, Roger; Javer, Amin; Jeyarajan, Hari; Kanumuri, Vivek V.; Karligkiotis, Apostolos; Kern, Robert C.; Khoueir, Nadim; Jankowski, Roger; Javer, Amin; Jeyarajan, Hari; Kanumuri, Vivek V.; Karligkiotis, Apostolos; Kern, Robert C.; Khoueir, Nadim; Maza, Guillermo; McHugh, Kelsey; Meço, Cem; Mencacci, Lodovica Cristofani; Morris, Stephen; Morrissey, David; Nair, Salil; Narayanan, Prepageran; Orlandi, Richard R.; Palmer, Charles F.; Palmer, James N.; Parasher, Arjun K.; Patel, Zara M.; Pfisterer, Michael J.; Philpott, Carl M.; Pietrobon, Giacomo; Polev, Georgiy A.; Prevedello, Daniel M.; Psaltis, Alkis J.; Ramakrishnan, Yujay; Rokade, Ashok; Roxbury, Christopher; Sacks, Raymond; Sansoni, E. Ritter; Santamaría-Gadea, Alfonso; Schlosser, Rodney J.; Seccia, Veronica; Sindwani, Raj; Smith, Kristine A.; Speleman, Kato; Subramaniam, Soma; Šurda, Pavol; Tajudeen, Bobby A.; Tan, Neil Cheng-Wen; Tang, Dennis; Tang, Ing Ping; Tarabichi, Osama; Tewfik, Marc A.; Tipirneni, Kiranya E.; Turri-Zanoni, Mario; Walters, Benjamin K.; Woodworth, Bradford A.; Wormald, Peter John; Youssef, Ahmed

Title: The Frontal Sinus

Subtitle: Surgical Approaches and Controversies

Print ISBN: 9783132400528; Online ISBN: 9783132437845; Book DOI: 10.1055/b-006-163737

1. Edition © 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG, Stuttgart

Subjects: Otorhinolaryngology, Phoniatrics, Audiology

Thieme Clinical Collections (English Language)



 
Li-Xing Man, Zeina Korban and Samer Fakhri

Abstract

Recalcitrant or recurrent frontal sinus disease after sinus surgery may be due to improper patient selection as well as local and systemic causes. Surgery should be avoided when the chief complaint is sinus headache or sinus pain. Common local sources of failure include incomplete surgical dissection, the lateralized middle turbinate, neo-osteogenesis, and poor postoperative care. When there is continued frontal sinus disease despite optimal surgery and meticulous postoperative care, systemic factors must be assessed and considered in order to devise a comprehensive and effective management plan.

Key words

aspirin-exacerbated respiratory disease - middle turbinate lateralization - neo-osteogenesis - non-steroidal anti-inflammatory drug (NSAID)-exacerbated respiratory disease - patient selection - postoperative care
 
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