TY - JOUR
T1 - Contemporary issues in frontal sinus surgery
AU - Meyer, Tanya K.
AU - Smith, Timothy L.
PY - 2002
Y1 - 2002
N2 - Despite dramatic advances in the instrumentation and diagnostic imaging available for the treatment of paranasal sinusitis, the surgical management of chronic frontal sinusitis continues to challenge otolaryngologists. The variety of surgical options that exist attests to the complexity of this disease, and no single approach provides a successful resolution in all cases. The literature supports a graduated approach progressing from minimally to more invasive procedures. Initial attempts focus on reestablishing ventilation and drainage, but when this fails, the time-honored treatment remains use of an osteoplastic flap with adipose obliteration. However, obliteration is not the panacea, as even this operation leaves the patient with significant potential morbidity, such as frontal neuralgia, external cosmetic deformity, and the limited ability to follow the obliterated sinus radiographically for recurrent disease.
AB - Despite dramatic advances in the instrumentation and diagnostic imaging available for the treatment of paranasal sinusitis, the surgical management of chronic frontal sinusitis continues to challenge otolaryngologists. The variety of surgical options that exist attests to the complexity of this disease, and no single approach provides a successful resolution in all cases. The literature supports a graduated approach progressing from minimally to more invasive procedures. Initial attempts focus on reestablishing ventilation and drainage, but when this fails, the time-honored treatment remains use of an osteoplastic flap with adipose obliteration. However, obliteration is not the panacea, as even this operation leaves the patient with significant potential morbidity, such as frontal neuralgia, external cosmetic deformity, and the limited ability to follow the obliterated sinus radiographically for recurrent disease.
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U2 - 10.1097/00020840-200202000-00003
DO - 10.1097/00020840-200202000-00003
M3 - Review article
AN - SCOPUS:0036165922
SN - 1068-9508
VL - 10
SP - 8
EP - 13
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
IS - 1
ER -