How To: Carolyn’s Window Approach to Unilateral Frontal Sinus Surgery

by Kachorn Seresirikachorn, MD, PhD, Andrea Sit, MD, Lu Hui Png, MD, Larry Kalish, MD, Raewyn G. Campbell, MD, Raquel Alvarado, PhD, and Richard J. Harvey, MD, PhD •

Postoperative Care

Spacers were retained for seven to 14 days, and irrigation commenced on the first postoperative day. Patients are managed via day surgery. Amoxicillin/clavulanic acid was given for 10 days, and prednisone was given at 25 mg maximum daily for seven to 21 days to reduce edema/congestion.

RESULTS

Forty-five patients (49.1 ± 17.9 years, 48.9% female) were assessed. All patients had successful frontal sinus patency (100% [95CI: 92.1%–100%]). Follow-up was 39.2 ± 9.0 months. Morbidities were adhesion (4.8%), crusting (2.4%), pain (1.2%), and bleeding (1.2%) in the early postoperative period. There were no other morbidities in the early (cerebrospinal fluid leak, periorbital edema or hematoma, and skin changes) and late (epiphora, smell reduction from baseline, retained frontal recess partitions, and any external cosmetic change) postoperative periods.