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The Egyptian Journal of Otolaryngology
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Frontal sinus osteoplastic flap: is it relevant today?

The Egyptian Journal of Otolaryngology volume 34, pages 229–233 (2018)Cite this article

Abstract

In the present era where frontal sinus surgery is synonymous with functional endoscopic sinus surgery, we present a case series comprising six cases of varied frontal sinus pathology that were managed with an external approach using an osteoplastic flap technique. The study was carried out in the ENT Department of Calcutta National Medical College, a tertiary care center in Kolkata. A unilateral osteoplastic flap approach was adopted in three cases, of which two were reported as osteomas and one was that of inverted papilloma. Bicoronal osteoplastic flap was raised in another group, which included a case of communited fracture of the anterior wall of the frontal sinus with obvious cosmetic facial deformity, a case of fracture of the posterior wall of the frontal sinus with traumatic cerebrospinal fluid rhinorrhea with pneumoencephalus, and a case of plasmacytoma of the frontal sinus. The mean follow-up period ranged from 1 to 3 years. There was no recurrence of disease and no significant postoperative complications have been reported during the follow-up period so far.

References

  1. Stevenson RS, Guthrie D. A history of otolaryngology. Baltimore, MD: Williams & Wilkins; 1949;104.

    Google Scholar 

  2. Jones NS. Management of frontal sinuses. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, editors. Cummings otolaryngology head and neck surgery. 5th ed. Philadelphia, PA: Elsevier; 2010;781–784.

    Google Scholar 

  3. Silverman JB, Gray ST, Busaba NY. Role of osteoplastic frontal sinus obliteration in the era of endoscopic sinus surgery. Int J Otolaryngol 2012;2012:501896.

    Article  Google Scholar 

  4. Bockmuhl U, Kountakis SE, Senior BA. Wolfgang Draf osteoplastic frontal sinusotomy and reconstruction of frontal defects. In: Kountakis SE, Senior A, Draf W, editors. Frontal sinus stilianos, thieme. New York: Springer; 2005;281–290.

    Chapter  Google Scholar 

  5. Weber R, Draf W, Kahle G, Kind M. Obliteration of the frontal sinus – state of the art and reflections on new materials. Rhinology 1999;37:1–15.

    CAS  PubMed  Google Scholar 

  6. Weber R, Draf W, Keerl R, Kahle G, Schinzel S, Thomann S, Lawson W. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–1044.

    Article  CAS  Google Scholar 

  7. Tato JM, Bergaglio OE. (1949) Cirurgia del frontal injerto de grosa. Nueva tecnica (surgery of frontal sinus. Fat grafts: new technique. Otolaryngologica 3:1, Oct. 1949) cited according Tato, Sibbald and Bergaglio. Laryngoscope 1954;64:504–521.

    CAS  Google Scholar 

  8. Rajapaksa SP, Ananda A, Cain T, Oates L, Wormald PJ. The effect of the modified endoscopic Lothrop procedure on the mucociliary clearance of the frontal sinus in an animal model. Am J Rhinol 2004;18:183–187.

    Article  CAS  Google Scholar 

  9. Wormald PJ, Ananda A, Nair S. The modified endoscopic Lothrop procedure in the treatment of complicated chronic frontal sinusitis. Clin Otolaryngol Allied Sci 2003;28:215–220.

    Article  CAS  Google Scholar 

  10. Kim E, Cutler JL. Balloon dilatation of the paranasal sinuses: a tool in sinus surgery. Otolaryngol Clin North Am 2009;42:847–856.

    Article  Google Scholar 

  11. Ogston A. Trephining the frontal sinus for catarrhal diseases. Men Chron Manchester 1884;1:235.

    Google Scholar 

  12. Coakley CG. Frontal sinusitis: diagnosis, treatment, and results. Trans Am Laryngol Rhinol Otol Soc 1905;11:101.

    Google Scholar 

  13. Knapp A. The surgical treatment of orbital complications in disease of the nasal accessory sinuses. JAMA 1908;51:299.

    Article  Google Scholar 

  14. Lothrop HA. XIV. Frontal sinus suppuration: the establishment of permanent nasal drainage; the closure of external fistulae; epidermization of sinus. Ann Surg 1914;59:937–957.

    Article  CAS  Google Scholar 

  15. Lynch RC. The technique of a radical frontal sinus operation which has given me the best results. Laryngoscope 1921;31:1.

    Article  Google Scholar 

  16. Howarth WG. Operations on the frontal sinus. J Laryngol Otol 1921;36:417–421.

    Article  Google Scholar 

  17. Goodale RL, Montgomery WW. Experience with osteoplastic anterior wall approach to the frontal sinus. Arch Otolaryngol 1958;68:271.

    Article  CAS  Google Scholar 

  18. Hardy JM, Montgomery WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol 1976;85(Pt 1):523–532.

    Article  CAS  Google Scholar 

  19. Ohta N, Suzuki Y, Waki T, Kurakami K, Hinohira Y, et al. Exploring the limits of the endoscopic approach to frontal sinus osteoma. Otolaryngology 2013;3:140.

    Google Scholar 

  20. Bignami M, Dallan I, Terranova P, Battaglia P, Miceli S, Castelnuovo P. Frontal sinus osteomas: the window of endonasal endoscopic approach. Rhinology 2007;45:315–320.

    PubMed  Google Scholar 

  21. Erdogan N, Demir U, Songu M, Ozenler NK, Uluç E, Dirim B. A prospective study of paranasal sinus osteomas in 1,889 cases: changing patterns of localization. Laryngoscope 2009;119:2355–2359.

    Article  Google Scholar 

  22. Schick B, Steigerwald C, el Rahman el Tahan A, Draf W. The role of endoscopic surgery in the management of frontoethmoid osteomas. Rhinology 2001;39:66–70.

    CAS  PubMed  Google Scholar 

  23. Draf W. Endonasal frontal sinus drainage type I–III according to Draf. In: Kountaks S, Seniro B, Draf W, editors. The frontal sinus. 1st ed. New York, NY: Springer; 2005. 219–231.

    Chapter  Google Scholar 

  24. Ledderose GJ, Betz CS, Steleter K, Leunig A. Surgical management of osteoma of the frontal recess and sinus: extending the limits of the endoscopic approach. Eur Arch Otorhinolaryngol 2011;268:525–532.

    Article  Google Scholar 

  25. Bigami M, Dallan I, Terranova P, Battaglia P, Miceli S, et al. Frontal sinus osteomas: window of endoscopic approach. Rhinology 2004;42:315–320.

    Google Scholar 

  26. Donald PJ, Gluckman J, Rice D. The sinuses. New York, NY: Raven Press 1995;468.

    Google Scholar 

  27. Becker DG, Moore D, Lindsey WH, Gross WE, Gross CW. Modified transnasal endoscopic Lothrop procedure: further considerations. Laryngoscope 1995;105:1161–1166.

    Article  CAS  Google Scholar 

  28. Ulualp SO, Carlson TK, Toohill RJ. Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease. Am J Rhinol 2000; 14: 21–26.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of ENT and Head and Neck Surgery, Calcutta National Medical College, c/o Sundaram, 91 Sarat Chaterjee Road, Barat, Lake Town, Kolkata, West Bengal, 700089, India

    Archana Shah & Somnath Saha

  2. Department of Plastic Surgery, R.G. Kar Medical College, Kolkata, West Bengal, India

    Moushumi Sengupta

  3. Department of ENT and Head and Neck Surgery, R.G. Kar Medical College, Kolkata, West Bengal, India

    Vedula P. Saha

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  1. Archana Shah
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  2. Moushumi Sengupta
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  3. Vedula P. Saha
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  4. Somnath Saha
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Correspondence to Archana Shah.

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Shah, A., Sengupta, M., Saha, V.P. et al. Frontal sinus osteoplastic flap: is it relevant today?. Egypt J Otolaryngol 34, 229–233 (2018). https://doi.org/10.4103/1012-5574.244903

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