Draf III frontal sinus surgery: “How I do it”: With Illustration and Video

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    5 Citations (Scopus)


    Background: The Draf III approach to the frontal sinus can be used during revision endoscopic sinus surgery for chronic rhinosinusitis and to provide access for tumor resection, mucoceles, and repair of cerebrospinal fluid leaks. Objective: To describe a simple and safe way to perform a Draf III approach by using the “outside-in” approach. Methods: By using a 0° endoscope and a single 15o, 5-mm, coarse diamond burr, the main steps of the procedure are the following: (1) elevation of the mucosal flaps and creation of the septal window, (2) drilling out the frontal beak, (3) creation of neo-ostium and removal of the interfrontal septum, (4) joining the neo-ostium with the frontal recesses, (5) smoothing off the cavity and lowering of the “frontal T,” and (6) use of mucosal flaps and grafts to cover exposed bone. Conclusion: This approach is a quick and easy way to perform a Draf III, and reduces operative time and minimizes complications.

    Original languageEnglish
    Pages (from-to)338-340
    Number of pages3
    JournalAmerican Journal of Rhinology and Allergy
    Issue number5
    Publication statusPublished - 1 Sep 2017


    • Draf III
    • frontal sinus
    • rhinosinusitis
    • endoscopic sinus surgery


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