[Axillary flap approach to the frontal recess in 20 patients].

OBJECTIVE

To discuss the method and efficacy of Wormald technique application in opening frontal recess surgery.

METHOD: Twenty cases with chronic frontal sinusitis underwent surgery with Wormald technique were subjected to this study. Preoperative CT scan and especially sagittal reconstructing were used to indicate the extent of lesion, source and key adjacent structure.

RESULT: All patients were followed up for more than half a year with an average of nine months. The effective rate was 90% and no recurrence appeared except for two cases.

CONCLUSION

Application of Wormald technique for frontal recess open surgery under endoscope is safe and feasible, with no intracranial, orbital, and other serious complications. All treatments including preoperative sagittal CT, that help to a clear locating the cell lead to the frontal recess obstructive lesions, awarding of the potential difficulties while frontal recess could not be identified, protecting mucous membrane in operation, and strengthening medication, washing, and oxygen spray after operation, can improve operational efficiency.