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By R Casiano

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G = 4 mm long curved suction. H = calibrated straight (Frazier) suction. I = Cottle periosteal elevator. J = ostium seeker or ball probe, which is angled at one end and curved at the other. L- 4 Figure 4 Additional instrumentation required for bone and tissue removal around the frontal ostium or sphenoid rostrum area. These instruments can be useful when performing an extended frontal or sphenoid sinusotomy. A = giraffe forceps. B = frontal curette. C = frontal rasp. D = angled cervical spine curette.

SD measurements from the antrostomy ridge (mm) 30 25 20 Mean 15 Min. Max. 10 5 0 ON CA E AA L- 3 Figure 3 Minimum instrumentation required for ESS. A = 30-degree telescope. B = 70-degree telescope (optional). C = 360-degree backbiting forceps. D = 360-degree sphenoid punch or forceps. 5-mm up-biting through-cut forceps. 5-mm straight through-cut forceps. G = 4 mm long curved suction. H = calibrated straight (Frazier) suction. I = Cottle periosteal elevator. J = ostium seeker or ball probe, which is angled at one end and curved at the other.

B = ethmoid bulla. The small circle denotes the approximate location of the maxillary sinus natural ostium behind the uncinate process. L- 18 Figure 18 Sagittal view with a probe through the inferior hiatus semilunaris into the maxillary sinus natural ostium. L- 19 Figure 19 Sagittal (a) and endoscopic (b) views after uncinate resection, illustrating the maxillary sinus natural ostium (M), the lateral (orbital) wall of the infundibulum (I), ethmoid bulla (B), and posterior fontanelle (PF) area.

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Endoscopic by R Casiano


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