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Step 1: The middle turbinate is medialized to provide an adequate working space in the middle meatus. |
| Step 2: The Uncinate bone is cut using a reverse cutting Ostrom's pinch. |
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Step 3: The Uncinate process after removal of a bony window. |
| Step 4: Bulla Ethmoidalis, which is the largest anterior ethmoidal cell is opened and marsupialised. |
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Step 5: The maxillary sinus ostia is widened and pus sucked out. |
| Step 6: The anterior ethmoidal cells are cleared using Blakesley's forceps. |
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Step 7: The anterior wall of sphenoids is removed after clearance of posterior ethmoidal cells. |
| Step 8: Sphenoidal sinus seen after removal of the anterior wall. |  |
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