Abstract
Objective: To describe the use of a modified nasoseptal flap for select cases of chronic sphenoid sinusitis. Method: Description and illustration of the surgical technique and indications for the modified nasoseptal flap for chronic sphenoid sinusitis. We report 3 cases of recurrent sphenoid fungal sinusitis treated with revision endoscopic sinusotomy and a mini-nasoseptal flap. Results: The mini-nasoseptal flap was used successfully in all cases without evidence of restenosis in the follow-up period. There were no complications related to flap harvest or inset. Conclusion: Inflammatory sphenoid lesions such as fungal balls may increase the risk of postoperative ostial stenosis especially in cases when postoperative surveillance or debridement is difficult or impossible. The mini-nasoseptal flap may expedite healing and decrease the risk of restenosis after sphenoid sinusotomy by avoiding cicatricial scarring.
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