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Frontal Sinus Dissection (Cadaver)

C. Scott Brown, MD; Ralph Abi Hachem, MD, MSc
Duke University Medical Center

1. Positioning and Anatomic Landmark Identification

2. Draf I

  1. Anterior Ethmoidectomy
  2. Dissect Agger Nasi
  3. Identify Frontal Sinus

3. Draf II-A "Uncapping the Egg"

  1. Remove Superior Edge of Agger Nasi
  2. Ensure Identification of Frontal Sinus

4. Draf II-B

  1. Cut Down Vertical Lamella
  2. Enlarge Frontal Sinusotomy
  3. Connect Frontal Sinus and Supraorbital Ethmoid

5. Draf III

  1. Drilling Frontal Sinusotomy
  2. Superior Anterior Septectomy