Sinocutaneous fistula secondary to chronic frontal rhinosinusitis: Case series and literature review

Vivian F. Wu, Timothy L. Smith, David M. Poetker

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objectives: The purpose of this study was to describe the clinical features of a series of patients in whom sinocutaneous fistula developed in the setting of chronic frontal sinusitis. Methods: We performed a retrospective case review of patients with sinocutaneous fistula. Clinical records, imaging, and operative reports were carefully examined. A complete literature review for relevant studies was performed to examine similar cases and possible pathophysiology. Results: Three patients with sinocutaneous fistula secondary to frontal sinusitis were identified. All patients underwent successful endoscopic sinus surgery with computer-assisted stereotactic localization and closure of the fistula. Conclusions: Development of sinocutaneous fistula secondary to frontal sinusitis is rare, but still occurs in the modern antibiotic era. Definitive management of this disease process requires 1) a frontal sinusotomy ensuring patency of the outflow tract and 2) fistula excision and multilayer closure.

Original languageEnglish (US)
Pages (from-to)759-763
Number of pages5
JournalAnnals of Otology, Rhinology and Laryngology
Volume117
Issue number10
DOIs
StatePublished - Oct 2008

Keywords

  • Frontal bone osteomyelitis
  • Frontal sinus fistula
  • Pott's puffy tumor
  • Sinocutaneous fistula

ASJC Scopus subject areas

  • Otorhinolaryngology

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