The authors have no funding, financial relationships, or conflicts of interest to disclose.
Modified hemi-lothrop procedure for supraorbital ethmoid lesion access†
Article first published online: 17 JAN 2012
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 2, pages 442–444, February 2012
How to Cite
Friedel, M. E., Li, S., Langer, P. D., Liu, J. K. and Eloy, J. A. (2012), Modified hemi-lothrop procedure for supraorbital ethmoid lesion access. The Laryngoscope, 122: 442–444. doi: 10.1002/lary.22443
- Issue published online: 23 JAN 2012
- Article first published online: 17 JAN 2012
- Accepted manuscript online: 7 NOV 2011 11:01AM EST
- Manuscript Accepted: 3 OCT 2011
- Manuscript Received: 7 SEP 2011
- Supraorbital ethmoid mucocele;
- frontal sinus mucocele;
- ethmoid mucocele;
- endoscopic sinus surgery;
- supraorbital ethmoid disease;
- Lothrop procedure;
- endoscopic modified Lothrop procedure;
- Draf III;
- Draf IIB
The supraorbital ethmoid (SOE) cell is an accessory ethmoid cell in the frontal area that extends into and pneumatizes superolaterally along the orbital plate of the frontal bone. The outflow pathway of the SOE cell can become obstructed, leading to an SOE mucocele. Given their lateral location, SOE lesions are traditionally treated through external approaches, although some authors have advocated treatment through standard endoscopic routes. We present a case of a large, supraorbital ethmoid mucocele treated with a novel modified hemi-Lothrop procedure (MHLP). This technique provides the benefit of an angulated approach to increase lateral visualization and bimanual, binostril instrumentation through a superior septectomy window.