In this article, the historical context and current application of external frontal sinus procedures are discussed. In particular, the frontal trephine, frontoethmoidectomy, and osteoplastic flap are described. Key points •…
The most common primary tumors of the frontal sinus are osteomas and inverted papillomas, although a variety of other tumors involving this space have been reported. With the advent of…
The mainstay of frontal sinus surgery for chronic rhinosinusitis is to achieve and maintain an adequate frontal outflow tract. Using a stepwise approach and identifying critical endoscopic anatomic landmarks, to…
Endoscopic sinus surgery is an effective intervention at improving quality of life for patients with medically refractory chronic rhinosinusitis. The evidence supporting frontal sinusotomy is limited to single institution case…
Encephaloceles and cerebrospinal fluid (CSF) leaks of the frontal sinus may result from congenital, traumatic, spontaneous, or neoplastic causes. Paramount to success is adequate preoperative planning with accurate history, physical…
Key points • Image guidance is a surgical tool that is widely accepted by endoscopic surgeons and used in most frontal sinus surgeries. • The use of image guidance can…
Key points • The modified hemi-Lothrop procedure (Eloy IIC) involves an ipsilateral Draf IIB and an anterosuperior septectomy window for access to the lateral recess of the ipsilateral frontal sinus…
Key points • Preoperative management encompasses appropriate patient selection. With a few exceptions, patients undergoing surgical interventions for frontal sinusitis should have exhausted medical management options. • The preoperative assessment…
The decision to operate on the frontal sinus is based on persistent symptoms that have been refractory to appropriate medical therapy with associated radiographic evidence of disease by computed tomography….
Key points • Sinus surgery failure occurs most commonly in the frontal recess and is largely attributable to surgical technique. • Image guidance is an extremely helpful adjunct to complete…
