- Original article
- Open Access
Frontal sinus osteoplastic flap: is it relevant today?
The Egyptian Journal of Otolaryngology volume 34, pages229–233(2018)
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.
Stevenson RS, Guthrie D. A history of otolaryngology. Baltimore, MD: Williams & Wilkins; 1949;104.
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.
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.
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.
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.
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.
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.
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.
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.
Kim E, Cutler JL. Balloon dilatation of the paranasal sinuses: a tool in sinus surgery. Otolaryngol Clin North Am 2009;42:847–856.
Ogston A. Trephining the frontal sinus for catarrhal diseases. Men Chron Manchester 1884;1:235.
Coakley CG. Frontal sinusitis: diagnosis, treatment, and results. Trans Am Laryngol Rhinol Otol Soc 1905;11:101.
Knapp A. The surgical treatment of orbital complications in disease of the nasal accessory sinuses. JAMA 1908;51:299.
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.
Lynch RC. The technique of a radical frontal sinus operation which has given me the best results. Laryngoscope 1921;31:1.
Howarth WG. Operations on the frontal sinus. J Laryngol Otol 1921;36:417–421.
Goodale RL, Montgomery WW. Experience with osteoplastic anterior wall approach to the frontal sinus. Arch Otolaryngol 1958;68:271.
Hardy JM, Montgomery WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol 1976;85(Pt 1):523–532.
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.
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.
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.
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.
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.
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.
Bigami M, Dallan I, Terranova P, Battaglia P, Miceli S, et al. Frontal sinus osteomas: window of endoscopic approach. Rhinology 2004;42:315–320.
Donald PJ, Gluckman J, Rice D. The sinuses. New York, NY: Raven Press 1995;468.
Becker DG, Moore D, Lindsey WH, Gross WE, Gross CW. Modified transnasal endoscopic Lothrop procedure: further considerations. Laryngoscope 1995;105:1161–1166.
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.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
About this article
Cite this article
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
- external approach
- frontal sinus
- frontal sinus obliteration
- osteoplastic flap