Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T08:19:18.707Z Has data issue: false hasContentIssue false
  • English
  • Français

The frontal osteoplastic flap: does it still have a place in rhinological surgery?

Published online by Cambridge University Press:  09 November 2010

A Y Isa ,
J Mennie  and
G W McGarry
A Y Isa*
Affiliation:
Department of ENT Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
J Mennie
Affiliation:
Department of ENT Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
G W McGarry
Affiliation:
Department of ENT Head and Neck Surgery, Glasgow Royal Infirmary, Scotland, UK
*
Address for correspondence: Miss Aidah Isa, Dept of ENT Head and Neck Surgery, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ER, Scotland, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To review outcomes and complications in a series of adults undergoing a frontal osteoplastic flap procedure without obliteration, for endoscopically inaccessible sinus disease.

Material and method:

Retrospective case note review of patients treated at Glasgow Royal Infirmary between January 2004 and October 2008.

Results:

Ten patients were identified (age range 19–81 years, mean age 46.3 years). No major intra- or post-operative complications occurred. There were three minor complications: superficial discharging wound, forehead swelling and haematoma.

Conclusion:

The frontal osteoplastic flap still has a role in frontal sinus surgery. With minor technical modifications, this procedure may be performed with minimal complication and morbidity for patients with endoscopically inaccessible frontal sinus disease.

Keywords

Frontal sinusSurgical procedureOsteoplasticComplicationsOutcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 2 , February 2011 , pp. 162 - 168
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Scottish Otolaryngology Society Summer Meeting, 7–8th May 2008, Pitlochry, Scotland, UK

References

1Macbeth, R. The osteoplastic operation for chronic infection of the frontal sinus. J Laryngol Otol 1954;68:465–77CrossRefGoogle ScholarPubMed
2Rubinstein, B, Strong, EB. Management of cranial defects after frontal osteoplastic flap. Laryngoscope 2001;111:541–3CrossRefGoogle ScholarPubMed
3Hardy, JM, Montgomery, WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol 1976;85:523–32CrossRefGoogle ScholarPubMed
4Weber, R, Draf, W, Keerl, R, Kahle, G, Schinzel, S, Thomann, S et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–44CrossRefGoogle ScholarPubMed
5Ulualp, SO, Carlson, TK, Toohill, RJ. Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease. Am J Rhinol 2000;14:21–6CrossRefGoogle ScholarPubMed
6Leach, P, Rutherford, S, Likhith, A, Leggate, J. Zig-zag bicoronal scalp incision for cranio-facial cases in paediatric neurosurgery. Childs Nerv Syst 2004;20:483–4CrossRefGoogle ScholarPubMed
7Lawson, W, Reino, AJ. Management of embossment following the frontal osteoplastic operation. Laryngoscope 1996;106:1259–65CrossRefGoogle ScholarPubMed
8Loevner, LA, Yousem, DM, Lanza, DC, Kennedy, DW, Goldberg, AN. MR evaluation of frontal sinus osteoplastic flaps with autogenous fat grafts. AJNR Am J Neuroradiol 1995;16:1721–6Google ScholarPubMed
9Scott, NA, Wormald, P, Close, D, Gallagher, R, Anthony, A, Maddern, GJ. Endoscopic modified Lothrop procedure for the treatment of chronic frontal sinusitis: a systematic review. Otolaryngol Head Neck Surg 2003;129:427–38Google Scholar
10Shirazi, MA, Silver, AL, Stankiewicz, JA. Surgical outcomes following the endoscopic modified Lothrop procedure. Laryngoscope 2007;117:765–9CrossRefGoogle ScholarPubMed
11Gross, CW, Zachmann, GC, Becker, DG, Vickery, CL, Moore, DF Jr, Lindsey, WH et al. Follow-up of University of Virginia experience with the modified Lothrop procedure. Am J Rhinol 1997;11:49–54CrossRefGoogle ScholarPubMed
12Samaha, M, Cosenza, MJ, Metson, R. Endoscopic frontal sinus drillout in 100 patients. Arch Otolaryngol Head Neck Surg 2003;129:854–8CrossRefGoogle ScholarPubMed
13Tran, KN, Beule, AG, Singal, D, Wormald, PJ. Frontal ostium restenosis after the endoscopic modified Lothrop procedure. Laryngoscope 2007;117:1457–62Google Scholar
14Weber, R, Hosemann, W, Draf, W, Keerl, R, Schick, B, Schinzel, S. Endonasal frontal sinus surgery with permanent implantation of a place holder [in German]. Laryngorhinootologie 1997;76:728–34CrossRefGoogle ScholarPubMed
15Banhiran, W, Sargi, Z, Collins, W, Kaza, S, Casiano, R. Long-term effect of stenting after an endoscopic modified Lothrop procedure. Am J Rhinol 2006;20:595–9CrossRefGoogle ScholarPubMed
16Amonoo-Kuofi, K, Lund, VJ, Andrews, P, Howard, DJ. The role of mitomycin C in surgery of the frontonasal recess: a prospective open pilot study. Am J Rhinol 2006;20:591–4CrossRefGoogle Scholar
17Chan, KO, Gervais, M, Tsaparas, Y, Genoway, KA, Manarey, C, Javer, AR. Effectiveness of intraoperative mitomycin C in maintaining the patency of a frontal sinusotomy: a preliminary report of a double-blind randomized placebo-controlled trial. Am J Rhinol 2006;20:295–9CrossRefGoogle ScholarPubMed
18Dubin, MG, Sonnenburg, RE, Melroy, CT, Ebert, CS, Coffey, CS, Senior, BA. Staged endoscopic and combined open/endoscopic approach in the management of inverted papilloma of the frontal sinus. Am J Rhinol 2005;19:442–5Google Scholar
19Herndon, M, McMains, KC, Kountakis, SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otol 2007;28:145–7Google Scholar
20Majithia, A, Tatla, T, Sandhu, G, Saleh, HA, Clarke, PM. Intracranial polyps in patients with Samter's triad. Am J Rhinol 2007;21:59–63Google Scholar