Extended Endoscopic and Open Sinus Surgery for Refractory Chronic Rhinosinusitis

Jean Anderson Eloy, Emily Marchiano, Alejandro Vázquez

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


This review discusses extended endoscopic and open sinus surgery for refractory chronic rhinosinusitis. Extended maxillary sinus surgery including endoscopic maxillary mega-antrostomy, endoscopic modified medial maxillectomy, and inferior meatal antrostomy are described. Total/complete ethmoidectomy with mucosal stripping (nasalization) is discussed. Extended endoscopic sphenoid sinus procedures as well as their indications and potential risks are reviewed. Extended endoscopic frontal sinus procedures, such the modified Lothrop procedure, are described. Extended open sinus surgical procedures, such as the Caldwell-Luc approach, frontal sinus trephine procedure, external frontoethmoidectomy, frontal sinus osteoplastic flap with or without obliteration, and cranialization, are discussed.

Original languageEnglish (US)
Pages (from-to)165-182
Number of pages18
JournalOtolaryngologic Clinics of North America
Issue number1
StatePublished - Feb 1 2017

ASJC Scopus subject areas

  • Otorhinolaryngology


  • Endoscopic modified medial maxillectomy
  • Endoscopic sinus surgery
  • Extended frontal sinusotomy
  • Extended maxillary antrostomy
  • Extended sphenoid sinusotomy
  • Modification of Lothrop procedure
  • Modified Lothrop procedure
  • Nasalization


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