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How I Do It: The Sphenoethmoidectomy

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Background:

Several techniques for performing the sphenoethmoidectomy have been described. We present a safe, effective, and efficient technique.

Objective:

We present text, images, and video to demonstrate our preferred technique for performing a sphenoethmoidectomy.

Methods:

A description of the technique without prospective or retrospective data, whereby a Kerrison rongeur and microdebrider were used to perform a total sphenoethmoidectomy by skeletonizing the skull base and lamina papyracea.

Results:

In our hands, the Kerrison rongeur and microdebrider allowed for a reliably safe and efficient sphenoethmoidectomy for chronic sinusitis with or without polyposis or skull base approaches.

Conclusion:

The technique described can be added to the armamentarium of the endoscopic sinus surgeon.
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Keywords: Sphenoid; endoscopic sinus surgery; ethmoid; lamina; polypectomy; skull base; surgical technique; technique

Document Type: Research Article

Affiliations: Department of Otolaryngology—Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA

Publication date: 01 November 2015

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