Evidence map›Paper›PMID 41786938›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Carolyn's Window Approach for frontal sinus in Asian Noses.

Wirach Chitsuthipakorn, Vorachai Pooldum, Juthaporn Phetpong, Kittichai Mongkolkul, Minh P Hoang, Kornkiat Snidvongs

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Wirach ChitsuthipakornCenter of Excellence in Otolaryngology, Head & Neck Surgery, Rajavithi Hospital, Bangkok, Thailand. drwirach@gmail.com.ORCID http://orcid.org/0000-0002-9787-6767
Vorachai PooldumCenter of Excellence in Otolaryngology, Head & Neck Surgery, Rajavithi Hospital, Bangkok, Thailand.ORCID http://orcid.org/0009-0004-4912-5194
Juthaporn PhetpongCenter of Excellence in Otolaryngology, Head & Neck Surgery, Rajavithi Hospital, Bangkok, Thailand.ORCID http://orcid.org/0000-0001-7321-6142
Kittichai MongkolkulCenter of Excellence in Otolaryngology, Head & Neck Surgery, Rajavithi Hospital, Bangkok, Thailand.ORCID http://orcid.org/0000-0003-3428-7364
Minh P HoangDepartment of Otolaryngology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.ORCID http://orcid.org/0000-0001-8878-2905
Kornkiat SnidvongsEndoscopic Nasal and Sinus Surgery Excellence Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID http://orcid.org/0000-0001-7537-4718

Funding

Rajavithi Hospital none
6 · The paper itself

Abstract

purposeThere has been concern regarding the applicability of the Carolyn’s Window Approach (CWA) to Asian patients because the nasal corridors in Asians are typically narrower externally with lower radix height compared to Western noses. This study evaluated the success rates and frontal sinus patency outcomes of the CWA in a cohort of Asian patients.

methodsPatients (≥ 18 years) who underwent frontal sinus surgery via CWA were consecutively enrolled. Patients were followed at 3 and 6 months after surgery. Anthropometric data on nasal appearance were obtained from CT scans. The outcomes were the success rate and the patency of the frontal sinus, determined by the ability to endoscopically visualize the frontal sinus at 3 and 6 months postoperatively.

resultsA total of 51 frontal sinuses (41 patients) were included. The ratios of nasal length to tip projection, dorsal height, and radix height were 2.00:0.82:0.49:0.24. All frontal sinus surgeries were successfully performed via the CWA using a 0° endoscope, with visualization of the sinus achieved in all cases. At the 3-month postoperative follow-up, 48 frontal sinuses (94.1%) remained patent. At 6 months, patency was maintained in 44 frontal sinuses (86.3%).

conclusionThe CWA is a feasible and effective technique for frontal sinus surgery in Asian patients, achieving patency rates of 94.1% at 3 months and 86.3% at 6 months. REGISTRATION: Thai Clinical Trial Registry, TCTR20230802002, on August 2nd, 2023.

Indexed as

EndoscopyFrontal SinusRhinosinusitisAdultAgedAsian PeopleFemaleHumansMaleMiddle AgedTomography, X-Ray ComputedTreatment OutcomeAsian nosesCarolyn’s windowChronic rhinosinusitisEndoscopic approachFrontal sinusNasal anatomyNasal cavityNoseRadix heightSinusitisSinus patencySinus surgery

Identifiers

PMID41786938

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.