Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-03T03:08:33.073Z Has data issue: false hasContentIssue false
  • English
  • Français

A stepwise approach to open surgery for the frontal sinus

Published online by Cambridge University Press:  11 February 2021

A Kelly ,
N Alhelali  and
G W McGarry
A Kelly*
Affiliation:
Otorhinolaryngology Department, Glasgow Royal Infirmary, Scotland, UK
N Alhelali
Affiliation:
Otorhinolaryngology Department, Glasgow Royal Infirmary, Scotland, UK
G W McGarry
Affiliation:
Otorhinolaryngology Department, Glasgow Royal Infirmary, Scotland, UK
*
Author for correspondence: Mr Andrew Kelly, Otorhinolaryngology Department, Glasgow Royal Infirmary, Scotland, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Despite advances in endoscopic techniques, there are still instances when the frontal sinus must be approached externally. Given its variable anatomy, the frontal sinus continues to present a challenge to the surgeon. Our rule of thumb capitalises on the consistent embryological development of the frontal sinus, aiding safe external access.

Methods and results

The presented stepwise approach includes trephination, fenestration, an osteoplastic flap and obliteration. The obliteration procedure has produced good results in managing those patients with disabling symptoms despite multiple endoscopic procedures.

Keywords

Frontal SinusOsteoplastic FlapTrephinationFenestrationObliteration
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 2 , February 2021 , pp. 173 - 175
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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

Mr A Kelly takes responsibility for the integrity of the content of the paper

References

DeConde, AS, Smith, TL. Outcomes after frontal sinus surgery: an evidence-based review. Otolaryngol Clin North Am 2016;49:1019–33CrossRefGoogle Scholar
Philpott, CM, McKiernan, DC, Javer, AR. Selecting the best approach to the frontal sinus. Indian J Otolaryngol Head Neck Surg 2011;63:79–84CrossRefGoogle ScholarPubMed
Al-Bar, MH, Lieberman, SM, Casiano, RR. Surgical anatomy and embryology of the frontal sinus. In: Kountakis, SE, Senior, BA, Draf, W, eds. The Frontal Sinus, 2nd edn. Berlin/Heidelberg: Springer-Verlag, 2016;15–33CrossRefGoogle Scholar
Isa, A, Mennie, J, McGarry, G. The frontal osteoplastic flap: does it still have a place in rhinological surgery? J Laryngol Otol 2011;125:162–8CrossRefGoogle ScholarPubMed
Shen, J, Chan, N, Wrobel, BB. The endoscopic modified Lothrop procedure: review of single institution experience and long-term outcomes. Laryngoscope Investig Otolaryngol 2018;233:105–9CrossRefGoogle Scholar