Penatalaksanaan Sinusitis Frontalis Menggunakan Pendekatan Axillary Flap Ke Resesus Frontalis

Metri Hilma Yunaz✉, Dolly Irfandy
DOI: https://doi.org/10.25077/mka.v44.i7.p481-491.2021

Abstract

Pendahuluan: Bedah sinus frontal dan resesus frontalis masih menimbulkan masalah karena anatominya yang kompleks sehingga beresiko menimbulkan komplikasi yang berat. Selain itu pembedahan sinus frontal dan resesus frontalis membutuhkan penggunaan alat-alat khusus yang berbentuk sudut seperti lengung 30 dan 70. Pembedahan sinus frontal dengan pendekatan axillary flap ke resesus frontalis merupakan teknik yang memudahkan ahli bedah karena cukup menggunakan alat dengan lengkung 0 dan dapat meminimalisir resiko komplikasi. Laporan Kasus: Dilaporkan satu kasus laki-laki 35 tahun dengan nyeri kepala hilang timbul sejak 10 tahun yang lalu. Dari pemeriksaan fisik dan penunjang pasien kemudian didiagnosis dengan sinusitis frontalis, massa et sinus frontal sinistra, konka bulosa dan septum deviasi. Pada pasien kemudian dilakukan tindakan frontal sinusektomi dengan pendekatan axillary flap, ekstirpasi massa et sinus frontal, konkotomi dan septoplasti dengan hasil yang baik. Kesimpulan: Bedah sinus frontal dengan pendekatan axillary flap memudahkan ahli bedah dalam mengakses sinus frontal tanpa menimbulkan komplikasi yang berat.

Keywords

Sinus frontal, resesus frontalis, sel ager nasi, axillary flap

Full Text:

PDF

References

Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020 E P O S 2 0 2 0 CONTENT. In 2020.

Amelia NL, Zuleika P, Utama DS. Prevalensi Rinosinusitis Kronik di RSUP Dr. Mohammad Hoesin Palembang. Maj Kedokt Sriwij. 2017;(April).

Kemenkes RI. Laporan Nasional RKD2018. Badan Penelitian dan Pengembangan Kesehatan. 2018. hal. 198.

Rekam Medis RSUP Dr. M. Djamil Padang. 2020.

Suh JD, Kennedy DW. Treatment options for chronic rhinosinusitis. Proc Am Thorac Soc. 2011;8(1):132–40.

Sagar GRS, Jha BC, Meghanadh KR. A Study of Anatomy of Frontal Recess in Patients Suffering from “Chronic Frontal Sinus Disease.” Indian J Otolaryngol Head Neck Surg. 2013;65(SUPPL2):435–9.

Makihara S, Kariya S, Okano M, Naito T, Uraguchi K, Matsumoto J, et al. The Relationship Between the Width of the Frontal Recess and the Frontal Recess Cells in Japanese Patients. Clin Med Insights Ear, Nose Throat. 2019;12.

Hajbeygi M, Nadjafi A, Amali A, Saedi B, Sadrehosseini SM. Frontal sinus patency after extended frontal sinusotomy type III. Iran J Otorhinolaryngol. 2016;28(5):337–43.

Chen PG, Bassiouni A, Wormald PJ. Incidence of middle turbinate lateralization after axillary flap approach to the frontal recess. Int Forum Allergy Rhinol. 2014;4(4):333–8.

Fleischman GM, Miller JD, Kim GG, Zanation AM, Ebert CS. Treatment of chronic frontal sinusitis with difficult anatomy: A hybrid balloon technique in four cases. Allergy Rhinol. 2014;5(3):120–4.

Sohal M, Tessema B, Brown SM. Medical Management of Frontal Sinusitis. Otolaryngol Clin North Am. 2016;49(4):927–34.

Carl P. Rhinosinusitis: Definitions, Classification and Diagnosis. In: Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, Volume 1 Basic Science Endocrine Surgery Rhinology. 8th ed. 2019. hal. 1025–34.

Kountakis SE, Senior BA, Draf W. The frontal sinus, second edition. Front Sinus, Second Ed. 2016;1–573.

Vázquez A, Baredes S, Setzen M, Eloy JA. Overview of Frontal Sinus Pathology and Management. Otolaryngol Clin North Am. 2016;49(4):899–910.

Ball S, Carrie S. Complications of Rhinosinusitis. In: Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, Volume 1 Basic Science Endocrine Surgery Rhinology. 8th ed. 2019. hal. 1113–23.

Naidoo YS, Wormald PJ. Frontal Sinus Surgery. In: Bailey’s Head and Neck Surgery Otolaryngology 5th edition. 2014. hal. 675–87.

Naidoo YS. Frontal Sinus Surgery : Indications and Outcomes in Chronic Rhinosinusitis.

Korban ZR, Casiano RR. Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls and Approach Selection. Otolaryngol Clin North Am. 2016;49(4):989–1006.

Eloy JA, Vázquez A, Liu JK, Baredes S. Endoscopic Approaches to the Frontal Sinus: Modifications of the Existing Techniques and Proposed Classification. Otolaryngol Clin North Am. 2016;49(4):1007–18.

Wormald PJ. The axillary flap approach to the frontal recess. Laryngoscope. 2002;112(3):494–9.

Wormald PJ. Surgery of the frontal recess and frontal sinus. Rhinology. 2005;43(2):82–5.

Irfandy D, Budiman BJ, Huryati E. Relationship between deviations of nasal septum and mucociliary transport time using saccharin test. Otorinolaringologia. 2019;(March):30–5.

Alsaied AS. Paranasal Sinus Anatomy: What the Surgeon Needs to Know. Parana Sinuses. 2017;3–36.

Kalaiarasi R, Ramakrishnan V, Poyyamoli S. Anatomical variations of the middle turbinate concha bullosa and its relationship with chronic sinusitis: A prospective radiologic study. Int Arch Otorhinolaryngol. 2018;22(3):297–302.

Youssef M, Sadek A, Talaat M. The axillary flap is a safer but tedious technique for Agger nasi cell removal compared to punch out procedures. Sohag Med J. 2018;22(2):61–8.

Lim D, Ngeow WC. Surgical ciliated cyst of the maxilla: A rare pathology of the maxillary sinus. Arch Orofac Sci. 2017;12(2):105–9.



Bookmark and Share
-->