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Modified Lothrop procedure in cystic fibrosis patients: does it have a role?

Published online by Cambridge University Press:  11 June 2013

M-C Jaberoo ,
M-A Pulido  and
H A Saleh
M-C Jaberoo*
Affiliation:
Department of Otorhinolaryngology, Charing Cross Hospital, London, UK
M-A Pulido
Affiliation:
Department of Otorhinolaryngology, Charing Cross Hospital, London, UK
H A Saleh
Affiliation:
Department of Otorhinolaryngology, Charing Cross and Royal Brompton Hospitals, Imperial College London, UK
*
Address for correspondence: Miss M-C Jaberoo, Department of Otorhinolaryngology, Northwick Park Hospital, Middlesex HA1 3UJ, UK Fax: 0208 8692964 E-mail: mcjaberoo@gmail.com
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Abstract

Background:

The management of frontal sinus disease in cystic fibrosis patients represents a challenge for many surgeons. Procedures can vary from the minimally invasive to those involving extensive open surgery.

Objective:

This study describes the outcomes of the endoscopic modified Lothrop procedure, in terms of safety and morbidity, for cystic fibrosis patients with frontal sinus disease who did not improve following traditional functional endoscopic sinus surgery.

Method and results:

The study setting was a tertiary referral unit in a London teaching hospital, the largest national base for adult cystic fibrosis patients. Two patients diagnosed in childhood with cystic fibrosis presented with histories of recurrent, severe frontal sinusitis; both had previously undergone multiple endoscopic sinus surgical procedures. The modified Lothrop procedure was performed on both patients. The outcome measures were symptom resolution and post-operative complications.

Conclusion:

The endoscopic modified Lothrop procedure was beneficial in the cystic fibrosis patients with frontal sinus disease who failed to respond to standard functional endoscopic sinus surgery procedures.

Keywords

Cystic FibrosisFrontal SinusSinusitisSurgical ProceduresOperative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 7 , July 2013 , pp. 666 - 669
Copyright
Copyright © JLO (1984) Limited 2013 

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Footnotes

Presented as a poster at the British Rhinological Society Meeting, 23 May 2008, Liverpool, UK.

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