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1 results

  • A stepwise approach to open surgery for the frontal sinus

  • A Kelly, N Alhelali, G W McGarry
  • Journal:
    The Journal of Laryngology & Otology / Volume 135 / Issue 2 / February 2021
    Published online by Cambridge University Press:
    11 February 2021, pp. 173-175
    Print publication:
    February 2021
  • 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.