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Published: 10 December 2022
Last updated: 29 January 2023

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1

Andrews, Thomas F. "Remembering Gloria Ricci Lothrop." Southern California Quarterly 97, no. 2 (2015): 213–16. http://dx.doi.org/10.1525/scq.2015.97.2.213.

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2

Farhat, Firas T., and Stilianos E. Kountakis. "Endoscopic modified Lothrop procedure." Operative Techniques in Otolaryngology-Head and Neck Surgery 15, no. 1 (March 2004): 4–7. http://dx.doi.org/10.1053/j.otot.2003.12.005.

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3

Gross, Charles W., and Scott E. Harrison. "The modified lothrop procedure." Otolaryngologic Clinics of North America 34, no. 1 (February 2001): 133–37. http://dx.doi.org/10.1016/s0030-6665(05)70301-7.

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4

Schulze, Stacey L., Todd A. Loehrl, and Timothy L. Smith. "Outcomes of the Modified Endoscopic Lothrop Procedure." American Journal of Rhinology 16, no. 5 (September 2002): 269–73. http://dx.doi.org/10.1177/194589240201600510.

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Background The aim of this study was to examine the long-term outcomes of the modified endoscopic Lothrop procedure for the management of the most severe forms of recalcitrant chronic frontal sinusitis. Methods This case series evaluated 13 consecutive cases of the modified endoscopic Lothrop procedure for chronic frontal sinusitis from April 1996 to December 1999. Patent communication to the frontal sinus was evaluated by postoperative endoscopic exam. Postoperative patient symptomatology and medication requirements were assessed during clinic evaluation and by standardized telephone questionnaire. Results At a mean follow-up period of 34.5 months, a 77% patency rate was obtained, with 2 of the 13 patients requiring an osteoplastic flap with obliteration. Telephone questionnaire results indicate improved symptoms and decreased medication requirements in the majority of patients who maintained patency. Conclusions These results show that the modified endoscopic Lothrop procedure provides a good alternative to the osteoplastic flap with obliteration for patients with the most severe forms of chronic frontal sinusitis. Initially, high patency rates decline with longer-term follow-up, and severe forms of chronic rhinosinusitis continue to significantly impact patient-perceived quality of life in some patients. The modified endoscopic Lothrop procedure should be reserved for patients who have failed more conservative endoscopic approaches to the frontal recess.
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5

Gross, Charles W., Gregory C. Zachmann, Daniel G. Becker, Christopher L. Vickery, David F. Moore, William H. Lindsey, and William E. Gross. "Follow-Up of University of Virginia Experience with the Modified Lothrop Procedure." American Journal of Rhinology 11, no. 1 (January 1997): 49–54. http://dx.doi.org/10.2500/105065897781446784.

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Current surgical treatment of the frontal sinus disease include external approaches to obliterate or ablate the sinus and both external and transnasal methods to restore drainage into the nasal cavity. The original Lothrop procedure resects the medial frontal sinus floor, superior nasal septum, and intersinus septum, creating a large frontonasal communication. However, as described, the external approach used in this procedure often allowed medial collapse of soft tissue and the stenosis of the nasofrontal communication. This report further relates our experience with the modified transnasal endoscopic Lothrop procedure using suction drills for cases in which frontal recess exploration had failed to relieve obstruction of the frontal sinus. We present an update of the University of Virginia experience in performing the modified Lothrop procedure in 20 patients from 10/93 to 4/95. Our findings over the follow-up period (average 12 months) have verified that this procedure is effective, with a 95% patency rate for the surgically enlarged frontal sinus ostium. When compared to osteoplastic flap with fat obliteration, the modified transnasal Lothrop procedure offers the advantages of a less invasive procedure with a shorter and usually no hospitalization, less morbidity, and the increased ability to evaluate post-operatively for recurrent disease. A patient charge analysis was also performed comparing patients undergoing frontal sinus obliteration during the same time period, revealing an additional benefit of decreased patient costs for the modified transnasal Lothrop procedure. None of our patients experienced complications, and all showed significant improvement, if not complete resolution of their symptoms. Although this procedure has produced favorable results, it should be noted that this procedure is technically demanding and will require further long term follow-up to verify its efficacy and proper role in the spectrum of surgical approaches for the treatment of chronic sinusitis.
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6

Choudhury, N., A. Hariri, and H. Saleh. "Extended applications of the endoscopic modified Lothrop procedure." Journal of Laryngology & Otology 130, no. 9 (July 18, 2016): 827–32. http://dx.doi.org/10.1017/s0022215116008483.

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AbstractObjective:The endoscopic modified Lothrop procedure is mainly used for refractory frontal sinusitis. However, we have used it as an access procedure to facilitate treatment for an extended range of additional frontal sinus pathologies.Methods:A retrospective review of patients who underwent the endoscopic modified Lothrop procedure for ‘alternative’ frontal sinus pathologies was conducted. Patient data were reviewed. The main outcome parameter measured was signs of recurrence.Results:Twelve patients (6 males, 6 females) from a 7-year study period, with a mean age of 45.2 years (range, 16–78 years), were analysed. The surgical indications included frontoethmoidal mucoceles, cerebrospinal fluid leaks within the frontal sinus, cystic fibrosis, frontal sinus osteoma, frontal sinus ossifying fibroma and frontal silent sinus syndrome. The mean follow-up period was 33.3 months. There were no known recurrences.Conclusion:We have used the endoscopic modified Lothrop procedure for a range of frontal sinus pathologies, safely and effectively, with no peri-operative complications.
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7

Jaberoo, M.-C., M.-A. Pulido, and H. A. Saleh. "Modified Lothrop procedure in cystic fibrosis patients: does it have a role?" Journal of Laryngology & Otology 127, no. 7 (June 11, 2013): 666–69. http://dx.doi.org/10.1017/s002221511300131x.

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AbstractBackground:The management of frontal sinus disease in cystic fibrosis patients represents a challenge for many surgeons. Procedures can vary from the minimally invasive to those involving extensive open surgery.Objective:This study describes the outcomes of the endoscopic modified Lothrop procedure, in terms of safety and morbidity, for cystic fibrosis patients with frontal sinus disease who did not improve following traditional functional endoscopic sinus surgery.Method and results:The study setting was a tertiary referral unit in a London teaching hospital, the largest national base for adult cystic fibrosis patients. Two patients diagnosed in childhood with cystic fibrosis presented with histories of recurrent, severe frontal sinusitis; both had previously undergone multiple endoscopic sinus surgical procedures. The modified Lothrop procedure was performed on both patients. The outcome measures were symptom resolution and post-operative complications.Conclusion:The endoscopic modified Lothrop procedure was beneficial in the cystic fibrosis patients with frontal sinus disease who failed to respond to standard functional endoscopic sinus surgery procedures.
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8

S Ruggeri, Carlos, Sebastian Aragon, Ana Laura Cajelli, Lourdes Principe, Agustin Martinez Font, and Yesica Lijdens. "Endoscopic approach to the frontal sinus with modified Lothrop technique. Outcomes in a large Argentinean center." Journal of Otolaryngology-ENT Research 11, no. 2 (2019): 140–43. http://dx.doi.org/10.15406/joentr.2019.11.00424.

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Objectives: To determine the permeability of the frontal drainage obtained by the modified Lothrop surgical technique. Study design: Descriptive and retrospective. Methods: Patients treated with modified Lothrop technique to widening the frontal recess drainage pathway which was obstructed by inflammatory or tumor diseases in the Rhinology section of the Hospital Italiano in Buenos Aires were included between April 2011 and December 2017. Patients with minor permeabilizations were excluded (Draf I-II). Results: 16 patients were treated, 7 women and 9 men, the youngest was 24 and the oldest 90. The average age was 56 years. The etiologies of diseases affecting the frontal sinus were allergic fungal sinusitis (2/16), recurred frontal mucocele with a history of Draf 2 (3/16), recurred frontal mucocele to external surgery with obliteration (1/16), frontal mucocele, nasal polyposis and cystic fibrosis (1/16), previous frontal sinusitis surgery (4/16), frontal mucopioceles (2/16) and malignant tumors originating in the ethmoid and frontal sinus (3/16). An unilateral block drainage of the frontal by mucosal hyperplasia was diagnosed in a patient, caused by her allergic fungal rhinosinusitis 5 years after Lothrop surgery. Moreover the patient was operated again by transnasal approach permeabilizing the frontal sinus. Another patient had a total obstruction of the frontal drainage and was successfully repeated with the same surgical technique. The other patients had permeable frontal drainage and were asymptomatic during the average follow-up of 3.5years. Conclusion: The obtained permeability of the frontal sinus drainage with Lothrop modified technique was 87.50% (14/16). With rescue endonasal assisted surgery, frontal sinus patency was 100%.
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9

Erdur, O., K. Ozturk, and K. Erkan. "Feasibility of a septal mucosal flap for preventing re-stenosis following the Draf III procedure." Journal of Laryngology & Otology 132, no. 1 (November 20, 2017): 79–82. http://dx.doi.org/10.1017/s0022215117002262.

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AbstractBackground:Re-stenosis and a consequent need for revision surgery are the most common problems in the follow-up period following endoscopic modification of the Lothrop procedure.Method:This paper reports a new technique for reconstructing and resurfacing of the posterior frontal recess bone for prevention of re-stenosis.Results:A 46-year-old man presented with a frontal sinus osteoma, and treatment featured an endoscopic modification of the Lothrop procedure. A vascularised, posteriorly based, septal mucosal flap was used in reconstruction. There have been no reported issues over 24 months of follow up.Conclusion:The use of a nasoseptal flap seems feasible to reduce scarring and recurrence of (common) frontal recess stenosis after a Draf III operation.
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10

L̓Aminot, Tanguy. "Lothrop Stoddard : Sous-hommes en octobre." La Pensée N° 390, no. 2 (January 4, 2017): 107–13. http://dx.doi.org/10.3917/lp.390.0107.

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11

Gross, Charles W., and Rodney J. Schlosser. "The Modified Lothrop Procedure: Lessons Learned." Laryngoscope 111, no. 7 (July 2001): 1302–5. http://dx.doi.org/10.1097/00005537-200107000-00030.

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12

Gross, William E., Charles W. Gross, Daniel Becker, David Moore, and Douglas Phillips. "Modified Transnasal Endoscopic Lothrop Procedure as an Alternative to Frontal Sinus Obliteration." Otolaryngology–Head and Neck Surgery 113, no. 4 (October 1995): 427–34. http://dx.doi.org/10.1016/s0194-59989570080-3.

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Persistent frontal sinusitis traditionally has been treated with external procedures such as osteoplastic frontal sinus obliteration or the Lynch procedure. Currently, functional endoscopic sinus surgery can be used in most cases to remove disease from the frontal recess, the most frequent site of frontal sinus obstruction, thereby relieving the sinusitis. In some cases, however, frontal recess exploration has failed to relieve the obstruction of the frontal sinus, necessitating an osteoplastic frontal sinus obliteration. We present our experience with a transnasal modification of the Lothrop procedure. The Lothrop procedure, first described in 1914, uses a combined external and transnasal approach to resect the median frontal sinus floor, superior nasal septum, and intersinus septum to drain the frontal sinus. This procedure was largely abandoned and forgotten by modern otolaryngologists. However, with the advent of the computed tomography scan and endoscopic techniques, we sought to reassess the basic tenant of the Lothrop procedure (i.e., wide median frontal sinus drainage). An anatomic study of cadaver heads was performed to quantify the surprisingly large potential opening and to better understand the pertinent anatomy. This procedure was performed on 10 patients, with no resulting complications and no failure to maintain patency of the frontal sinus drainage throughout the follow-up period (mean, 7 months). We are encouraged by our initial favorable results and intend to use the procedure in the future as needs arise.
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13

Khong, Jwu Jin, Raman Malhotra, Dinesh Selva, and Peter John Wormald. "Efficacy of endoscopic sinus surgery for paranasal sinus mucocele including modified endoscopic Lothrop procedure for frontal sinus mucocele." Journal of Laryngology & Otology 118, no. 5 (May 2004): 352–56. http://dx.doi.org/10.1258/002221504323086534.

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This study evaluated the efficacy of the modified endoscopic Lothrop procedure (MELP) for complicated frontal mucoceles and endoscopic marsupialization for other paranasal sinus mucoceles. It was a retrospective, consecutive case review of sinus mucoceles treated endoscopically by a single surgeon over a four-year period (1998-2002). There were 41 mucoceles in 28 patients, including 24 frontal, eight frontoethmoidal, three ethmoidal, five maxillary and one frontal mucocele. Twenty-one patients underwent the modified Lothrop procedure for frontal mucoceles, and seven underwent simple drainage and marsupialization for frontoethmoidal, ethmoidal and maxillary mucoceles. At median follow-up of 16 months, all patients had a patent mucocele opening. Patients treated by drainage and marsupialization did not have any complications or mucocele recurrence. All patients treated by the modified endoscopic Lothrop procedure had improvement in symptoms and signs. Four patients had minor complications including epistaxis and adhesions and five required further surgery. The average hospital in-patient stay was 2 ± 1.4 days. Endoscopic techniques, including MELP are effective in the short term for the management of complex and simple paranasal sinus mucoceles. MELP has a useful place in the management of mucoceles with a significant bony partition from an adjacent sinus or nasal cavity. It is also indicated when the mucocele is associated with loss of lateral support in the sinus with risk of medial-wall collapse of the orbital contents obstructing drainage.
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14

Casiano, Roy R., and Sarita Kaza. "The endoscopic Lothrop procedure: indications and contraindications." Current Opinion in Otolaryngology & Head and Neck Surgery 10, no. 1 (February 2002): 40–43. http://dx.doi.org/10.1097/00020840-200202000-00011.

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15

Kountakis, Stilianos E., and Charles W. Gross. "Long-term results of the Lothrop operation." Current Opinion in Otolaryngology & Head and Neck Surgery 11, no. 1 (February 2003): 37–40. http://dx.doi.org/10.1097/00020840-200302000-00008.

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16

Minami, Kazuhiko, and Tomoyuki Haji. "Clinical Study of Endoscopic Modified Lothrop Procedure." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 53, no. 4 (2014): 499–505. http://dx.doi.org/10.7248/jjrhi.53.499.

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17

Murray, Kim, and Jean Anderson Eloy. "Endoscopic Hemi-Lothrop for Contralateral Frontal Disease." Otolaryngology–Head and Neck Surgery 143, no. 2_suppl (August 2010): P278—P279. http://dx.doi.org/10.1016/j.otohns.2010.06.600.

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18

Becker, Daniel G., David Moore, William H. Lindsey, William E. Gross, and Charles W. Gross. "Modified transnasal endoscopic lothrop procedure: Further considerations." Laryngoscope 105, no. 11 (November 1995): 1161–66. http://dx.doi.org/10.1288/00005537-199511000-00004.

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19

Gross, Charles W., William E. Gross, and Daniel G. Becker. "Modified transnasal endoscopic lothrop procedure: Frontal drillout." Operative Techniques in Otolaryngology-Head and Neck Surgery 6, no. 3 (September 1995): 193–200. http://dx.doi.org/10.1016/s1043-1810(06)80012-6.

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20

Morrissey, David K., Ahmed Bassiouni, Alkis J. Psaltis, Yuresh Naidoo, and Peter-John Wormald. "Outcomes of revision endoscopic modified Lothrop procedure." International Forum of Allergy & Rhinology 6, no. 5 (February 16, 2016): 518–22. http://dx.doi.org/10.1002/alr.21715.

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21

Burkart, Collin M., and Lee A. Zimmer. "Endoscopic Modified Lothrop Procedure: A Radiographic AnatomicalStudy." Laryngoscope 119, S3 (2009): S302. http://dx.doi.org/10.1002/lary.21566.

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22

Casiano, Roy R., and Jeffrey A. Livingston. "Endoscopic Lothrop Procedure: The University of Miami Experience." American Journal of Rhinology 12, no. 5 (September 1998): 335–40. http://dx.doi.org/10.2500/105065898780182444.

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Over a 2-year period, 21 patients with clinical and radiologic evidence of persistent or recurrent frontal sinusitis who had a prior ethmoidectomy and/or frontal sinusotomy underwent an endoscopic Lothrop procedure. The patients’ chief complaints were headaches (13), nasal obstruction and/or purulent rhinorrhea (4), orbital abscess/cellulitis (2), anosmia (1), and cough (1). Preoperative frontal headaches were present in 19 patients. The common frontal ostium remained patent (>50% of intraoperative size) by flexible fiberoptic examination and transillumination 2–24 months postoperatively in 12 of 21 patients (57%). Eighteen of 21 patients (86%) had improved or resolved chief complaints. All but 4 of 19 patients (21%) with preoperative frontal headaches had improved or resolved symptoms. Two patients required additional surgery during the follow-up period. The endoscopic Lothrop procedure is a viable option before frontal sinus obliteration in patients with recurring frontal sinusitis who have failed conventional endoscopic techniques. The surgical technique and results will be presented.
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23

Farhat, Firas T., Ramon E. Figueroa, and Stilianos E. Kountakis. "Anatomic Measurements for the Endoscopic Modified Lothrop Procedure." American Journal of Rhinology 19, no. 3 (May 2005): 293–96. http://dx.doi.org/10.1177/194589240501900314.

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Background The aim of this study was to introduce preoperative radiographic frontal recess and sinus anatomic measurements to assist in the selection of patients considered for the modified Lothrop procedure. Methods Data were collected from sagittally reconstructed computed tomography (CT) scans of seven cadaver heads. Four anatomic parameters for measurement were defined as follows: (1) thickness of the nasal beak (desirable <10 mm); (2) midsagittal distance from nasal beak to skull base (adding 1 and 2 provides the anterior–posterior (AP) space at the cephalad margin of the frontal recess; desirable, ≥15 mm); (3) accessible dimension (in a parasagittal plane through the frontal ostium; the distance between two lines drawn parallel to the plane of the anterior skull base and perpendicular to the line of the insertion of the nasal endoscope during surgery; the posterior line is drawn at the skull base and the anterior line is drawn at the posterior margin of the nasal beak; the distance between the lines indicates the space available for instrumentation; desirable, >5 mm); (4) AP dimension of each frontal sinus. Results The average and the range of each parameter measured were as follows: (1) nasal beak thickness = 8.0 mm (5.0–10.4 mm); (2) nasal beak–skull base = 7.9 mm (2.5–14.1 mm); (3) accessible dimension, 6.1 mm (0.9–9.6 mm); (4) AP diameter of the frontal sinus, 9.7 mm (5.2–14.1 mm). Four specimens were considered candidates for modified Lothrop and three were not. Conclusion Preoperative radiographic frontal recess and sinus anatomic measurements may assist in the selection of patients considered for the endoscopic modified Lothrop procedure.
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24

Close, Lanny Garth, Joseph L. Leach, Norris K. Lee, and Scott C. Manning. "Endoscopic Resection of the Intranasal Frontal Sinus Floor." Annals of Otology, Rhinology & Laryngology 103, no. 12 (December 1994): 952–58. http://dx.doi.org/10.1177/000348949410301205.

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The current accepted treatment for chronic frontal sinus disease unresponsive to medical management and endoscopic surgery is an external approach to either obliterate the sinus or restore communication to the nasal cavity. Here reported is an endoscopic approach for resection of the intranasal frontal sinus floor, a modification of a procedure first described by Lothrop in 1899. Eleven patients underwent this operation from April 1993 to December 1993. One complication, a cerebrospinal fluid leak treated successfully endoscopically, has occurred. Of the 7 patients followed up 3 months or longer after surgery, only 1 has developed symptoms of recurrent frontal sinusitis. On the basis of this limited preliminary experience, the endoscopic Lothrop procedure shows promise as an effective operation designed to establish a physiologic communication between the frontal sinus and the nasal cavity in selected patients who would otherwise be candidates for an external approach.
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25

Anverali, J. K., A. A. Hassaan, and H. A. Saleh. "Endoscopic modified Lothrop procedure for repair of lateral frontal sinus cerebrospinal fluid leak." Journal of Laryngology & Otology 123, no. 1 (April 17, 2008): 145–47. http://dx.doi.org/10.1017/s0022215108002326.

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AbstractObjective:To describe a previously unreported case of repair of a lateral frontal sinus cerebrospinal fluid leak, using the endoscopic modified Lothrop procedure.Method:Case report of new technique, with reference to the world literature.Results:An effective endoscopic, transnasal repair of a lateral frontal sinus cerebrospinal fluid leak was achieved in a 60-year-old man. The defect was closed with fat, fascia lata and free mucosal grafts. The left nasal cavity was packed and a lumbar drain left in situ post-operatively. The drain and packs were removed one week later and the patient discharged with no complications, and no recurrence at 12 months' follow up.Conclusion:Such cerebrospinal fluid leaks have traditionally been repaired using an external approach with osteoplastic flaps and obliteration of the sinus. We highlight the endoscopic modified Lothrop technique as an effective alternative approach to repair of cerebrospinal fluid leaks in poorly accessible areas of the frontal sinus.
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26

Yip, J. M., K. A. Seiberlin, and P. J. Wormald. "Patient-reported olfactory function following endoscopic sinus surgery with modified endoscopic Lothrop procedure / Draf 3." Rhinology journal 49, no. 2 (June 1, 2011): 217–20. http://dx.doi.org/10.4193/rhino10.248.

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OBJECTIVES/HYPOTHESIS: The Modified Endoscopic Lothrop procedure (MELP) or Draf 3 is a complex procedure, performed for chronic frontal sinusitis that is refractory to standard functional endoscopic sinus surgery. The procedure involves drilling of the frontal T (formed by the septum and middle turbinate`s attachment to the skull base) onto the olfactory fossa often with exposure of the first olfactory neuron and may affect olfactory function. This study was performed to assess patients` subjective sense of smell following this procedure. STUDY DESIGN: Prospective study of retrospective data. METHODS: Sixty-eight patients, who underwent modified endoscopic Lothrop by the senior author (PJW) between 2003 and 2008, completed a post-operative questionnaire asking about their perception of olfactory function. All patients had their pre-operative subjective sense of smell documented prior to undergoing surgery. Patient records were reviewed for pertinent medical information such as the presence of asthma, aspirin sensitivity and nasal polyps. RESULTS: This study found that the majority of patients reported improvement in their sense of smell post-operatively, while only a small number reported a negative impact on their smell. Thirty-nine patients reported an improvement in their post-operative smell grade. Twenty patients reported no change in their smell grade, while the remaining 9 patients stated that their sense of smell worsened after surgery. No statistically significant correlation was found between patient outcome and the presence of asthma, nasal polyps, or Samter`s triad. CONCLUSIONS: The Modified endoscopic Lothrop procedure/Draf 3 had a positive effect on subjective sense of smell post-operatively in this cohort of patients.
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Gross, Charles W., Daniel G. Becker, and William E. Gross. "Frontal Sinus Disease: Treatment Options—Frontal Drillout." Otolaryngology–Head and Neck Surgery 112, no. 5 (May 1995): P45. http://dx.doi.org/10.1016/s0194-5998(05)80079-8.

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Educational objectives: To have an understanding of the full spectrum of medical and surgical modalities available in the treatment of severe persisting frontal sinusitis and to understand the anatomic principles and practical aspects of the modified transnasal endoscopic Lothrop procedure using drills or “frontal drillout. “
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Yokoi, Hidenori, Hidetaka Yamanaka, Yuma Matsumoto, Michitsugu Kawada, Masachika Fujiwara, Arisa Ohara, and Koichiro Saito. "Modified Lothrop (Draf III) procedure for the treatment of a recurrent orbitofrontal cholesterol granuloma: A case report." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2090780. http://dx.doi.org/10.1177/2050313x20907809.

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Orbitofrontal cholesterol granuloma is a rare occurrence. Here, we present a case involving a 64-year-old man with a recurrent orbitofrontal cholesterol granuloma treated by the Modified Lothrop (Draf III) procedure. The patient, who had a history of trauma and previous sinus surgery, presented with chief complaints of nasal congestion, olfactory impairment, and diplopia. We suspected chronic sinusitis; computed tomography showed a soft-tissue shadow extending from the bilateral frontal sinuses to the ethmoid sinuses, with a cyst in the right orbitofrontal region. We performed endoscopic surgery for removal of the mass, and histopathological analysis of the resected specimen confirmed a diagnosis of cholesterol granuloma. The lesion recurred 2 months later, and we performed revision surgery using the Modified Lothrop or Draf III procedure. The patient showed no relapse at the 5-year follow-up. These findings suggest that the Draf III procedure is an effective surgical treatment for cholesterol granulomas.
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29

Nakagawa, Takayuki, and Juichi Ito. "Endoscopic modified Lothrop procedure for postoperative frontal mucocele." Acta Oto-Laryngologica 127, sup557 (January 2007): 51–54. http://dx.doi.org/10.1080/03655230601066769.

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30

Close, Lanny Garth. "Endoscopic Lothrop procedure: when should it be considered?" Current Opinion in Otolaryngology & Head and Neck Surgery 13, no. 1 (February 2005): 67–69. http://dx.doi.org/10.1097/00020840-200502000-00015.

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31

Nishiike, Suetaka, Dai Shibata, Shigetoshi Yoda, and Junko Murata. "Endoscopic Modified Lothrop Procedure with Frontal Sinus punch." Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 47, no. 2 (2008): 126–30. http://dx.doi.org/10.7248/jjrhi.47.126.

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32

Shirazi, Mobeen A., Amanda L. Silver, and James A. Stankiewicz. "Surgical Outcomes Following the Endoscopic Modified Lothrop Procedure." Laryngoscope 117, no. 5 (May 2007): 765–69. http://dx.doi.org/10.1097/mlg.0b013e3180337d7b.

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33

Sindwani, R. "Surgical outcomes following the endoscopic modified Lothrop procedure." Yearbook of Otolaryngology-Head and Neck Surgery 2008 (January 2008): 238. http://dx.doi.org/10.1016/s1041-892x(08)79120-0.

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34

Tan, Neil C. W., Amanda Drilling, Camille Jardeleza, and Peter J. Wormald. "Improvement in Olfaction following Modified Endoscopic Lothrop Procedure." Otolaryngology–Head and Neck Surgery 149, no. 2_suppl (August 23, 2013): P131. http://dx.doi.org/10.1177/0194599813495815a289.

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35

Burkart, Collin M., and Lee A. Zimmer. "Endoscopic modified lothrop procedure: A radiographic anatomic study." Laryngoscope 121, no. 2 (November 30, 2010): 442–45. http://dx.doi.org/10.1002/lary.21168.

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36

Lai, J.-C., C.-K. Liu, M.-L. Chen, and M.-K. Chen. "Removal of frontal sinus keratoma solely via endoscopic sinus surgery." Journal of Laryngology & Otology 124, no. 10 (July 6, 2010): 1116–19. http://dx.doi.org/10.1017/s002221511000157x.

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AbstractObjectives:To present a patient with a frontal sinus keratoma removed solely via endoscopic sinus surgery, including presentation of characteristic computed tomography and magnetic resonance images; to discuss the differential diagnosis of this condition; and to report the current knowledge on and treatment of frontal sinus keratoma.Case report:A 53-year-old man presented to our department with a 10-month history of rhinorrhoea and postnasal drip. After computed tomography and magnetic resonance imaging studies, the patient underwent surgery utilising a modified Lothrop procedure. An extensive soft tissue lesion was removed from the frontal sinus. Histological examination revealed a lamellated cluster of keratinous material. The pathological diagnosis was keratoma of the frontal sinus. There was no recurrence of keratoma over a two-year follow-up period.Conclusions:Following review of the English language literature, we believe this case report to represent the first successful application of a modified endoscopic Lothrop procedure for resection of an extensive frontal sinus keratoma. Thus, the applications of endoscopic sinus surgery may be expanded to include frontal sinus keratoma removal.
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37

Eloy, Jean Anderson, Mark E. Friedel, Kim P. Murray, and James K. Liu. "Modified Hemi-Lothrop Procedure for Supraorbital Frontal Sinus Access." Otolaryngology–Head and Neck Surgery 145, no. 3 (April 22, 2011): 489–93. http://dx.doi.org/10.1177/0194599811404510.

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38

Tran, Khanh N., Achim G. Beule, Deepti Singal, and Peter-John Wormald. "Frontal Ostium Restenosis After the Endoscopic Modified Lothrop Procedure." Laryngoscope 117, no. 8 (August 2007): 1457–62. http://dx.doi.org/10.1097/mlg.0b013e31806865be.

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39

Wormald, Peter John. "Salvage Frontal Sinus Surgery: The Endoscopic Modified Lothrop Procedure." Laryngoscope 113, no. 2 (February 2003): 276–83. http://dx.doi.org/10.1097/00005537-200302000-00015.

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40

Dubin, Marc G., and Frederick A. Kuhn. "Endoscopic Modified Lothrop (Draf III) with Frontal Sinus Punches." Laryngoscope 115, no. 9 (September 2005): 1702–3. http://dx.doi.org/10.1097/01.mlg.0000176542.59985.9f.

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41

Eloy, Jean Anderson, Arjuna B. Kuperan, Mark E. Friedel, Osamah J. Choudhry, and James K. Liu. "Modified Hemi-Lothrop Procedure for Supraorbital Frontal Sinus Access." Otolaryngology–Head and Neck Surgery 147, no. 1 (February 27, 2012): 167–69. http://dx.doi.org/10.1177/0194599812438837.

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42

Friedel, Mark E., Shawn Li, Paul D. Langer, James K. Liu, and Jean Anderson Eloy. "Modified hemi-lothrop procedure for supraorbital ethmoid lesion access." Laryngoscope 122, no. 2 (January 17, 2012): 442–44. http://dx.doi.org/10.1002/lary.22443.

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43

Yoon, Sang Pill, Sam Hyun Baek, Kyoung Kyu Lee, and Hak Soo Kim. "A Case of Modified Lothrop Procedure Using Navigation for Patient with Recurrent Frontal Sinusitis." Journal of Clinical Otolaryngology Head and Neck Surgery 22, no. 2 (November 2011): 235–38. http://dx.doi.org/10.35420/jcohns.2011.22.2.235.

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44

Hirsh, John C., and John Lothrop Motley. "John Lothrop Motley on the American Republic, 1846: A Document." Journal of the Early Republic 6, no. 1 (1986): 59. http://dx.doi.org/10.2307/3122669.

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45

Kodama, Satoru, Masaomi Moriyama, Tomoyo Okamoto, Takashi Hirano, and Masashi Suzuki. "Isolated frontal sinus aspergillosis treated by endoscopic modified Lothrop procedure." Auris Nasus Larynx 36, no. 1 (February 2009): 88–91. http://dx.doi.org/10.1016/j.anl.2008.02.004.

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46

Chin, David, Kornkiat Snidvongs, Larry Kalish, Raymond Sacks, and Richard J. Harvey. "The outside-in approach to the modified endoscopic lothrop procedure." Laryngoscope 122, no. 8 (May 1, 2012): 1661–69. http://dx.doi.org/10.1002/lary.23319.

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47

Seiberling, Kristin, Steve Floreani, Simon Robinson, and Peter-John Wormald. "Endoscopic Management of Frontal Sinus Osteomas Revisited." American Journal of Rhinology & Allergy 23, no. 3 (May 2009): 331–36. http://dx.doi.org/10.2500/ajra.2009.23.3321.

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Background Recent articles have published guidelines regarding the role of endoscopic surgery in the removal of frontal sinus osteomas. These guidelines recommend the endoscopic approach for small osteomas but recommend an osteoplastic flap for larger tumors. This study presents a series of endoscopically resected tumors both large and small. Methods Retrospective chart reviews were performed. Charts were reviewed of all patients who underwent surgical resection of a frontal sinus osteoma from 1998 to 2008. Sinus CT scans were reviewed and each tumor was staged according to Kennedy's grading system proposed in 2005. Results Twenty-three patients, 8 with a grade IV tumor, 6 with a grade III tumor, and the remaining with a grade I or II tumor, underwent endoscopic resection of a frontal sinus osteoma. In 15 patients a modified Lothrop procedure was performed for tumor removal. In addition, a blepharoplasty incision was used in one patient for removal of a large orbital extension of the tumor and another underwent an enlarged frontal sinus trephine performed via a browline incision. In the remaining patients a frontal sinusotomy with minitrephination provided enough access for tumor removal. Over an average follow-up of 36 months no recurrences were noted. Symptoms improved in all but one patient. There were no postoperative complications. Conclusion Endoscopic resection of both large and small frontal sinus osteomas is feasible. In this article we have shown successful removal of large osteomas that fill the entire frontal sinus with the modified Lothrop procedure.
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48

Sharp, H. R., P. D. R. Spraggs, and I. S. Mackay. "Combined approach intranasal endoscopic and external Lothrop procedure in chronic frontal sinus disease." Journal of Laryngology & Otology 111, no. 7 (July 1997): 635–37. http://dx.doi.org/10.1017/s0022215100138174.

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AbstractThe endoscopic approach to the fronto-ethmoidal recess (FER) in the treatment of chronic frontal sinus disease is now widely accepted. The Lothrop procedure was first described in 1914, but was largely replaced with more invasive open frontal sinus proceduresuntil the advent of the rigid Hopkins' rod, since when it has enjoyed enewed popularity.We describe a modification of this technique which allows both transnasal endoscopic and external direct visualization of the FER and frontal sinus and a direct approach to the anterior buttress (or “nasofrontal beak”) which allows its quick and simple removal.
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Hsieh, Li‐Chun, Guo‐She Lee, Kuo‐Sheng Lee, Chin‐Wen Chang, and Ying‐Piao Wang. "Hypernasality after the endoscopic modified Lothrop procedure for refractory frontal sinusitis." International Forum of Allergy & Rhinology 11, no. 8 (February 28, 2021): 1260–63. http://dx.doi.org/10.1002/alr.22776.

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50

Leavitt, Kathryn A., Allison N. Rasband-Lindquist, Ann B. Robinson, D. David Beahm, and Larry A. Hoover. "The Endoscopic Modified Lothrop: Lessons Learned during a 17-Year Experience." Otolaryngology–Head and Neck Surgery 151, no. 1_suppl (September 2014): P118—P119. http://dx.doi.org/10.1177/0194599814541627a280.

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