Nasal Endoscopic Surgical Techniques
Application of locating supratrochlear artery and supraorbital artery in combined transfrontal and intranasal endoscopic approaches
Chen Zhipeng, Wu Xifu, Zheng Bowen, Chen Qilong, Yuan Tian, Zheng Rui, Chen Jingyuan, Kong Weifeng, Wu Shuo, Kang Zhuang, Ren Jie, Yang Qintai
Published 2022-08-07
Cite as Chin J Otorhinolaryngol Head Neck Surg, 2022, 57(8): 931-936. DOI: 10.3760/cma.j.cn115330-20210805-00526
Abstract
ObjectiveTo investigate the localization methods of supratrochlear artery (STA) and supraorbital artery (SOA), and to explore the clinical benefit of locating nerve via accompanying vascular localization in combined transfrontal and intranasal endoscopic approaches.
MethodsFrom June 2019 to May 2021, 14 patients, including 11 males and 3 females, aging from 18 to 69 years old, were underwent frontal sinus surgery through the combined transfrontal and intranasal endoscopic approaches in the Department of Otorhinolaryngology Head and Neck Surgery of the Third Affiliated Hospital of Sun Yat-sen University. Before the surgery, localization of STA and SOA was determined by color doppler flow imaging (CDFI), computerized topographic angiography (CTA) and contrast enhanced magnetic resonance angiography (CE-MRA) respectively, and the distances between STA and SOA from facial midline were measured on 28 eyebrows. The position of external incision was determined according to the preoperative localization of STA and SOA. The examination time, cost and postoperative complications of the three methods were recorded. The accuracy of localization at 14 sides was verified by the surgery. GraphPad Prism 8.3 software was used for statistical analysis.
ResultsSTA and SOA could be located by CDFI, CTA and CE-MRA. There was no significant difference in the measurement of the distance between STA and SOA from the facial midline among 3 methods (all P>0.05). Determining the position of external incision according to the localization of STA and SOA could protect both the blood vessels and accompanying nerves. No postoperative complications such as numbness of the forehead skin occurred. The measurement time of CDFI, CTA and CE-MRA was 22.50 (15.75, 30.00), 30.00 (28.00, 34.25) and 48.00 (44.00, 52.75) min (M (Q1, Q3)), respectively (all P<0.05). CDFI incurred the lowest costs and took the shortest time.
ConclusionsCDFI is an efficient and economic localization method. The localization of STA and SOA facilitates the precise selection of the position of external incision, protects the accompanying nerve and reduces postoperative complications.
Key words:
Frontal sinus; Endoscopy; Otorhinolaryngologic surgical procedure; Complication; Supratrochlear artery; Supraorbital artery
Contributor Information
Chen Zhipeng
Department of Ophthalmology and Otorhinolaryngology, the Second People′s Hospital of Longgang District, Shenzhen 518112, China
Wu Xifu
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Zheng Bowen
Department of Ultrasonography, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Chen Qilong
Department of Radiology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Yuan Tian
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Zheng Rui
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Chen Jingyuan
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Kong Weifeng
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Wu Shuo
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Kang Zhuang
Department of Radiology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Ren Jie
Department of Ultrasonography, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
Yang Qintai
Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
