Modified Lothrop Procedure for Sinus Surgery

Sinus problems are usually mostly cured by drug therapy and procedures such as flushing for treating sinusitis, but in case of ineffectiveness of the drug, recurrent infections or other complications such as structural abnormalities or fungal sinusitis, surgery to enlarge the openings that drain the sinuses is preferred.

Endoscopic sinus surgery is a minimally invasive, precise surgery using telescopes, micro-debrider and radio frequency treatment for acute and chronic sinus infections / headaches (children and adults), scarless blocked tear duct surgery, closure of brain fluid leakage, resection of sino-nasal tumors and nose bleeding. Until recently, the osteoplastic flap has been the standard surgical procedure but the Endoscopic Modified Lothrop Procedure (EMLP) is fast becoming a standard method for treating complications. Some of the benefits of EMLP over the osteoplastic flap procedure are decreased morbidity, improved cosmesis, and the ability to endoscopically evaluate patients postoperatively for recurrent disease. Other advantages include shorter hospitalization (usually the same day), less pain and reduced frontal and orbital oedema.

sinus_2In recent years there has been a strong trend in surgery toward preservation of the mucoperiosteum of the sinuses and maintenance of a patent nasofrontal connection, in recognition of the fact that regenerating mucosa has a markedly diminished ciliary density that may never fully recover to its pre-operative level. In this respect, the endoscopic modified Lothrop procedure is a short-term management option for unmanageable and complicated front sinusitis caused by a wide range of diseases. It is a safe, successful and effective surgical alternative to osteoplastic flap and creates the largest anatomical opening possible to drain the frontal sinuses into the nasal cavity. As an endoscopic procedure, ELMP is less invasive and has lower blood loss compared to other procedures. It leaves no external scars and post operative surveillance is possible with CT and endoscopy scans.

EMLP is a frontal sinus drill-out that was developed in the mid 1990s and necessitates the removal of the inter frontal septum, the superior part of the nasal septum and the frontal sinus floor in a lateral direction. Pre-operative procedures include decongesting the nasal cavities with topical oxymetazoline and injection of the septum and the lateral nasal wall with 10ml of 1% lidocaine and 1:100,000 epinephrine solution. The surgery generally involves three procedures. A superior septa perforation is first created and 1cm of the anterior is removed from the middle turbinates. Next, one or both frontal recesses are identified and a bur is used to remove the frontal floor from the posterior to the anterior. Finally the surgeon moves across the midline and removes the bone to create the largest possible oval opening to both frontal sinuses.

The modified Lothrop procedure is very successful for chronic frontal sinus obstruction and now used for resection of osteomas and benign tumors such as inverted papillomas and their biggest advantage is their ability to directly inspect the sinus post-operatively for the tumor’s recurrence.

The Sinus Dallas Center, Texas ENT specialists and the McKinney ENT clinic in Texas possesses the state-of-the-art sinus treatments, including minimally invasive procedures such as the EMLP and is dedicated to provide specialized and personalized patient care.

As a whole, the modified Lothrop procedure has radically changed the management of frontal sinus syndrome.

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About Ear Nose and Throat Problems and Treatments

Texas Ear Nose and Throat

ent-problemsEar Nose and Throat Problems is one of the specialized branches of medical science and there are many diseases and disorders in this branch. The one who is specialized in Ear Nose and Throat Problems is known as an ENT specialist. There is some of the most simple and complicated surgeries take place in this branch of medical science. Let’s focus on some of the ENT problems one by one –

Ear conditions –

Ear Infection – Ear infection is caused due to the inflammation of the middle ear and that is due to bacterial infection and where fluids accumulate in the ear drums. Children are most susceptible to this infection and it is one of the leading causes in children. Some of the diseases that relate to ear infections are acute otitis media, otitis media with effusion and Chronic otitis media with effusion.

There are also hearing problems in this category such as Sensorineural Hearing Loss, Noise Induced Hearing Loss, Child Hearing Loss, Deafness, Tinnitus, Meniere’s disease etc.

Nose and Mouth Conditions –

There are many conditions that affect the nose and the mouth

Sinusitis is one such ENT problem that arises in the nasal cavity and blocks the nasal passage.

There are also nasal polyps that are small out growth in the nasal cavity and are one the major problems that are seen worldwide.

There are also problems such as Deviated Septum, Allergic Rhinitis, and Nasal Fracture etc.

Throat condition –

There are various throat conditions that are prevalent among the people and have been a cause of great concern. Below are some of the throat conditions –

Thyroid nodules, Tonsil and Adenoids, Neck Cancer, Reflux, GERD, LPR etc

Head and neck conditions –

There are several diseases and disorders in this section of ENT problems –

Bell’s palsy, children and facial paralysis, children and facial trauma, cleft lip and cleft palate, dizziness and motion sickness, facial plastic surgery, facial sports injuries, fine needle aspiration, head and neck cancer, pediatric head and neck tumors, sinus headaches etc.

Cancer –

There are many cancers that are caused in the ENT region. Some of them are listed below –

Head and Neck Cancer, Laryngeal (Voice Box) Cancer, Pediatric Head and Neck Tumors, Pediatric Thyroid Cancer, Rhabdomyosarcoma

There are many such conditions that is prevalent among the people all over the world and it is always better to consult an ENT doctor if one is going through some ENT problems.

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Tips to Take Care of Your Ear, Nose and Throat

Texas Ear Nose and Throat

ent-chart1With so many different types of diseases around, your body needs be taken care of properly. Usually, on a day- to- day basis, an individual is prone to various minor diseases and common problems that are mostly related to ears nose and throat. If you are suffering from any such minor problem the following tips might help you overcome it.

1)      Tips for ENT care- Ear Care:  Ear is a very important part of a human body. It is one of the most crucial and essential sensory organ of our body. We all are very well aware of its main function of making us conscious about the environmental sounds including the other person’s voice. Ear pains, Wax in the ear, hearing loss, glue ear, etc. are some of the common and ordinary ear problems. In such cases, self medication helps to a great extent. One can take pain killers like “combiflam” or “Paracetamol” for some relief. It is advisable to not allow water in to your ears so you should keep petroleum jelly smeared cotton plugs in your ears while having a bath. If all this doesn’t help, you should rush to a doctor immediately.

2)      Tips for ENT care- Nose care: The most important function of the nose is to humidify the air that enters our lungs for oxygenation of our body. Most of the times, the common problems related to the nose include allergy of the nose, common cold and nose bleeding. There are nasal decongestants that are available at any general medical store which help in curbing these problems of the nose. If this doesn’t help, you should consult an ENT specialist or a physician to identify the cause of the infection and get appropriate treatment.

3)      Tips for ENT care- Throat care: Tonsils and Adenoid and throat irritation are the most common infections related to your throat.  It is recommended that you avoid sharing eating utensils as you may be at a risk of cross contamination. It is very important for you to keep your toothbrush clean and also you should gargle with a mixture of warm water and salt every night. This helps in disinfecting the mouth and throat. Salt water is known to give you fast relief.

ENT hygiene is very important. Thus, it is of utmost importance that you keep the above mentioned tips in your mind. Instead of spending a great deal of money on a physician, these tips may help you in dealing with your infections in a very economical way!

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