Discover in the SurgSchool App the fascinating DRAF type 3 surgery with the renowned Dr. Juan Maza-Solano! In this exciting rhinology procedure, Dr. Maza addresses a nasal obstruction caused by polypoid tissue using advanced techniques and a comprehensive approach.
Surgery Summary
The patient, initially affected by significant nasal obstruction, underwent a transformation thanks to DRAF type III. The delicate removal of polypoid tissue with a microdebrider preserves the olfactory mucosa, guaranteeing optimal recovery.
Complete ethmoidectomy in both nostrils is the core of the intervention, highlighting attention to the location and enlargement of the left frontal sinus and sphenoidectomy. Dr. Maza addresses severe frontal symptoms, such as nasal polyposis, anosmia, and left facial pain, providing a comprehensive solution.
Practical Techniques
The practical technique includes a precise incision in the axilla of the middle turbinate, careful identification of the olfactory fillet as the posterior limit of the DRAF III, and safe execution either from outside to inside or from inside to outside. Septectomy stands out for its importance in visualization of the contralateral frontal, and drilling is performed strategically from one sinus to the other, maintaining the anatomical reference of the olfactory fillets.
In specific cases, such as a hypoplastic right frontal sinus, a special outside-in technique is used to direct the left frontal sinus toward the right.
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