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2 glabella 1 6 swelling and tenderness - 1 nasal obstruction(-) rhinorrhea(-) sneezing :

pruritus (-)
PND (+) - 2~3 headache - frontal - , not lancinating anosmia about 7~8yr ago

PNS PCT

Lothrop Op
external ethmoidectomy Resection of the nasal floor of both frontal sinuses, intersinus septum, the superior portion of the nasal septum right under the frontal sinuses. Wide nasofrontal communication Too dangerous
Lack of adequate visualization Medial collapse of orbital soft tissue and subsequent stenosis of the nasofrontal communication

Endoscopic modified Lothrop Op

modified Lothrop Op
The approach was entirely intranasal. Medial collapse does not occur. Decreased morbidity. Improved cosmesis. Ability to endoscopically evaluate postoperative patients for recurrent disease.

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