Case Report

Frontal Sinusitis with Mixed Bacterial Colonies Treated with the Combination of Endoscopic Modified Lothrop Procedure and External Approach

Figure 2

Intraoperative endoscopic view. (a) Frontal sinus opened with conventional approach (Draf type IIa) seen through a 70° endoscope. (b) Frontal sinus opened with the EMLP seen through a 70° endoscope. Fungus ball is located in the left frontal sinus. (c) Left frontal sinus opened with the EMLP seen through a 70° endoscope. Small portion of the fungus ball is located in the fissure (arrow). (d) Corner where the fungus ball was trapped was seen through the external approach.
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(a)
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(b)
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(c)
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(d)