NGHIÊN CỨU PHẪU THUẬT NỘI SOI NGÁCH TRÁN BẰNG PHƯƠNG PHÁP SOI BÓNG XOANG TRÁN DƯỚI SỰ HƯỚNG DẪN CỦA DỤNG CỤ LIGHTSEEKER TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC TP HỒ CHÍ MINH

Abstract

Background: Endoscopic frontal sinus surgery remains as a very challenging technique with potential for serious morbidity and even mortality. The PathAssist Light Seeker helps surgeons identify frontal sinus safely and effectively. Objective: Study of transillumination of the frontal sinus method under guideline of “Path Assist LightSeeker” in endoscopic frontal recess surgery. Method: Prospective, cross-sectional study. Results: The surgery was successfully completed in all 55 frontal sinuses (28 patients) with Path Assist Lightseeker without orbital or intracranial complications. Frontal sinusitis with other sinus (96.36%), simple frontal sinusitis (3.64%), common lesions in frontal recess with mucosal edema (65.5%), nasal polyp (61.8%), synechia (12.7%); Agger nasi cell were the most common (83.6%), supra Agger nasi cell (32.7%); supra agger frontal cell (3.6%). The supra bulla cell (43.6%);supraorbital ethmoid cell (40%);supra bulla frontal cell (9.1%). The mean frontal ostium diameter is 7.35±2.01 mm. Conclusions: "Path Assist Lightseeker '' helps the surgeon know in position of the intervention, more confident in identifying and expanding frontal sinus ostium. However, “Path Assist Lightseeker'' cannot replace the surgeon's knowledge of anatomy, CT scan and surgical skills.