[Comparative study of front-ethmoid-orbital mass resection via trans scalp coronary incision and functional endoscopic sinus surgery].

OBJECTIVE

To investigate the advantages and disadvantages between two surgical approaches of trans scalp coronary incision (TCI) and functional endoscopic sinus surgery (FESS) by which front-ethmoid-orbital masses being resected.

METHOD: Thirty-four cases of front-ethmoid-orbital mass from 1995-2006 were retrospectively studied, among which lesions of 18 cases resected by FESS, lesions of 16 cases via TCI. The follow-up time varied from 2 to 4 years.

RESULT: Five of 18 cases by FESS had residual dizziness or nasal pain, one case recurred 2 years after the operation. None of TCI cases experienced recurrence, whereas dizziness presented in 3 cases, regional dull sensation of the operative scalp in 12 cases.

CONCLUSION

FESS and TCI approach has its own benefits and shortcomings thus has its indications respectively.