NGHIÊN CỨU PHẪU THUẬT NỘI SOI NGÁCH TRÁN BẰNG PHƯƠNG PHÁP SOI BÓNG XOANG TRÁN DƯỚI SỰ HỖ TRỢ CỦA DỤNG CỤ LIGHT SEEKER TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Abstract

Background: Endoscopic frontal sinus surgery remains as a very challenging technique with the potential for serious morbidity and even mortality. The PathAssist Light Seeker helps surgeon identify frontal sinus safely and effectily. Objective: Study of transillumination of the frontal sinus method under “PathAssist Light Seeker” guideline in endoscopic frontal recess surgery. Method: Prospective, cross-sectional study. Results: The surgery was sucessfully completed in all 55 frontal sinuses (28 patients) with PathAssist 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%);supra orbital ethmoid cell (40%);supra bulla frontal cell (9,1%). The mean frontal ostium diameter was 7,35±2,01 mm. Conclusions: "PathAssist Light Seeker" helps the surgeon know the position of the intervention and be more confident in identifying and expanding frontal sinus ostium. However, “PathAssist Light Seeker” cannot replace the surgeon's knowledge of anatomy, CT scan and surgical skills.