Sclerotomy Anterior

A sclerotoma is a surgical procedure in which part of the fibrous capsule of the orbital sinus and medial surface of the eye is removed from the anterior or posterior part of the nose in order to relieve the patient of sinusitis or sinus asthma. This operation is aimed at reducing the size of the palpebral fissure in order to eliminate or reduce the symptoms that accompany diseases associated with the dimensional deformation of the palpebral fissure, as well as eliminating or reducing the need for antiallergic drugs or the treatment of asthmatic ailments. The success rate of sclerotosis of the anterior frontal sinus ranges from 40% to 90%. It is believed that the removal of most of the scleroma on one side of the face can reduce the recession of the eyeball by reducing the space affected by the scleroma in the area of ​​the inner corner of the eye on the same side. However, successfully correcting ocular symmetry after surgery is challenging. Neuropathic corneal parameters (keratotypes) were associated with maximum palpebral fissure width after surgery. After a successful anterior sclerotomy and removal of a significant portion of the diseased sinus membrane, patients may notice visible defects in appearance, such as a stuffy nasal tip, a bulging outer corner of the eye, slanted upper eyelids, or even difficulty breathing, depending on the nature of the operation and the damage to the paranasal sinuses.