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This site is intended to provide high quality videos of live sinus surgeries for the educational benefit of healthcare providers and their patients. We hope that you enjoy the site and will share your comments with us at editors@sinusvideos.com.

Editor: Ralph Metson, MD
Co-editors: Zachary Soler, MD
 Jamie Litvack, MD
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Agger Nasi Punch-Out-Procedure (POP)

Running Time: 2:07


 Indications:

  • Identification of frontal sinus ostium
  • Removal of obstructed agger nasi cells

 

Highlights:

  • Hajek punch used to remove face of frontal recess
  • Agger nasi swept from posterior to anterior out of the frontal recess for removal 
  • Identification and probing of the frontal sinus ostium

 

Keep in Mind:

  • The advantage of this technique is that it allows direct visualization of the frontal recess with a zero-degree endoscope
  • Bone removal should be in superior direction only so as not to destabilize the middle turbinate
     
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