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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]
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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

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Footnotes

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

References

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