FESS REPORT TEMPLATE

This is where to play with FINDINGS section until perfect.

MAIN FINDINGS:

A) BACKGROUND PARANASAL SINUS APPEARANCES
Development: Normal
Prior Surgery: No sign of prior procedures.

B) SINUS DISEASE
Opacification: LUND-MACKEY SCORE

SINUS : RIGHT , LEFT
Frontal Sinuses : xxx , xxx
Anterior Ethmoid : xxx , xxx
Posterior Ethmoid: xxx , xxx
Maxillary Sinuses: xxx , xxx
Sphenoid Sinuses : xxx , xxx
Ostiomeatal Units: xxx , xxx
= LUND-MACKEY Score: xxx/24

Pattern: No specific pattern demonstrated.

Soft tissue changes: - No focal mass, polyps, nor high attenution seen.

Bony Change: - No associated osteolysis nor thinning nor erosions.
- No associated osteogenesis demonstrated.

B) SINUS OUTFLOW TRACTS.
FSDP
- RIGHT: xxx.Ostium and frontal recess are patent. No FE cells, frontal bullar cell nor thick frontal beak.
- LEFT: xxx.Ostium and frontal recess are patent. No FE cells, frontal bullar cell nor thick frontal beak.

OMU
- RIGHT: xxx.Ostium, infundibulum and middle meatus are patent. No Haller cells.
- LEFT: xxx.Ostium, infundibulum and middle meatus are patent. No Haller cells.

Sphenoethmoidal Recess
- RIGHT: xxx.Patent.
- LEFT: xxx.Patent.

C) CRITICAL ANATOMY
ANTERIOR SKULL BASE
- Cribriform plate anatomy: Normal and symmetric. / Asymmetric
- Keros classification: RIGHT= xxx. LEFT= xxx.
- Ethmoid skull base integrity: Intact. / Dehiscent
- Anterior ethmoid artery location In skull base: Normal with bony coverage./ Bony pedicle / Dehiscent.
LAMINA PAPARYCEA
- Integrity: Intact. / Dehiscent / Herniated orbital fat
SPHENOID SINUS
- Sphenoethmoidal (Onodi) cell: Absent. /Present
- Optic nerve anatomy: Covered by bone.
- ICA anatomy: Covered by bone with no bony septa attachment. / Dehiscent. No bony septa attachment.

D) ANATOMICAL VARIANTS
NASAL SEPTUM
- Septal Deviation: xxx.
- Spur Formation: Nil.
OSTIOMEATAL VARIANTS
- Infraorbital ethmoidal (Haller) cell: Absent.
- Uncinate process insertion: Lamina papyracea / Middle turbinate / Skull base
- Middle Turbinate: Normal. / Concha / Paradoxical / Lateralised.
FRONTAL RECESS VARIANTS.
- Anterior clinoid process pneumatization: Absent.
- Sphenoid sinus size: Sella / Pre-sellar / Conchal
; INCIDENTAL FINDINGS
- Brain: xxx
- Other: xxx

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