Wednesday, April 27, 2016

ENT Procedures 14 drainage of frontal sinus

Drainage of the infected frontal sinus.
Position
Supine.
Anesthesia
General.
Procedure
1.  Incision along the inferior margin of the eyebrow.
2.  The periosteum is reflected.
3.  Ethmoid sinus entered.
4.  The frontal sinus is entered after bone is rongeured.
5.  Removing the floor of the sinus.
6.  Diseased mucous membrane is excised using curettes, periosteal elevators and pituitary forceps.
7.  A nasofrontal passage is made by removing a portion of the middle turbinate.
8.  External wound is closed and dressed.
Instruments
   Nasal set
   Minor procedure set
   Weitlaner self-retaining retractor
   Power saw (e.g. Stryker), with oscillating blade and cord
   Basin set
   Suction tubing
   Blades (2) No. 15
   Bulb syringe
   Drain

   Nasal packing.

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