Modified Transseptal Approach: An Adjunct to Prelacrimal Recess Approach for Extensive Inverted Papilloma of Maxillary Sinus, How We Do It.

The transseptal approach to the maxillary sinus has been described for resection of extensive tumours of the nose and paranasal sinuses. We describe a modification of this method in a patient diagnosed with inverted papilloma for which he had undergone two previous operations. This method provides complete access to the maxillary sinus, particularly the anterior wall, to provide adequate reach and ensure complete removal of tumours.

Comparison of the Modified Version of DRAF III to the Conventional DRAF III: A 5 Year Study.

A modification is made to the conventional way of doing Draf III by completely avoiding burrs by using only gouges and punches to reduce the postoperative narrowing followed by local instillation of budesonide solution. The results are compared. The comparison was made in terms of surgical duration, frontal ostium size, and recurrence of pathology.