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HOW I DO IT?
Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 64-66

How I do it: direct transnasal endoscopic posterior ethmoidectomy with the intact bulla technique


1 Department of Rhinology, Cairo University, Cairo, Egypt
2 Department of ENT, Cairo University, Cairo, Egypt

Correspondence Address:
Reda Kamel
87 Manial Street, Manial, Cairo 11451
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2090-7540.200614

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In lesions affecting both anterior and posterior ethmoids where surgery is indicated, total ethmoidectomy as part of functional endoscopic sinus surgery is the state of the art. In solo posterior ethmoid lesions, there is still controversy in terms of the most direct and least destructive approach. In these cases, it is not justified to disturb the integrity of the bulla ethmoidalis and/or the middle turbinate. In this article, a novel approach to the posterior ethmoid is presented that does not disrupt the integrity of the ostiomeatal complex.


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