Skip to main content Accessibility help
×
Home

The frontal osteoplastic flap: does it still have a place in rhinological surgery?

  • A Y Isa (a1), J Mennie (a1) and G W McGarry (a1)

Abstract

Objective:

To review outcomes and complications in a series of adults undergoing a frontal osteoplastic flap procedure without obliteration, for endoscopically inaccessible sinus disease.

Material and method:

Retrospective case note review of patients treated at Glasgow Royal Infirmary between January 2004 and October 2008.

Results:

Ten patients were identified (age range 19–81 years, mean age 46.3 years). No major intra- or post-operative complications occurred. There were three minor complications: superficial discharging wound, forehead swelling and haematoma.

Conclusion:

The frontal osteoplastic flap still has a role in frontal sinus surgery. With minor technical modifications, this procedure may be performed with minimal complication and morbidity for patients with endoscopically inaccessible frontal sinus disease.

Copyright

Corresponding author

Address for correspondence: Miss Aidah Isa, Dept of ENT Head and Neck Surgery, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ER, Scotland, UK E-mail: aidahisa@msn.com

Footnotes

Hide All

Presented at the Scottish Otolaryngology Society Summer Meeting, 7–8th May 2008, Pitlochry, Scotland, UK

Footnotes

References

Hide All
1Macbeth, R. The osteoplastic operation for chronic infection of the frontal sinus. J Laryngol Otol 1954;68:465–77
2Rubinstein, B, Strong, EB. Management of cranial defects after frontal osteoplastic flap. Laryngoscope 2001;111:541–3
3Hardy, JM, Montgomery, WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol 1976;85:523–32
4Weber, R, Draf, W, Keerl, R, Kahle, G, Schinzel, S, Thomann, S et al. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope 2000;110:1037–44
5Ulualp, SO, Carlson, TK, Toohill, RJ. Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease. Am J Rhinol 2000;14:21–6
6Leach, P, Rutherford, S, Likhith, A, Leggate, J. Zig-zag bicoronal scalp incision for cranio-facial cases in paediatric neurosurgery. Childs Nerv Syst 2004;20:483–4
7Lawson, W, Reino, AJ. Management of embossment following the frontal osteoplastic operation. Laryngoscope 1996;106:1259–65
8Loevner, LA, Yousem, DM, Lanza, DC, Kennedy, DW, Goldberg, AN. MR evaluation of frontal sinus osteoplastic flaps with autogenous fat grafts. AJNR Am J Neuroradiol 1995;16:1721–6
9Scott, NA, Wormald, P, Close, D, Gallagher, R, Anthony, A, Maddern, GJ. Endoscopic modified Lothrop procedure for the treatment of chronic frontal sinusitis: a systematic review. Otolaryngol Head Neck Surg 2003;129:427–38
10Shirazi, MA, Silver, AL, Stankiewicz, JA. Surgical outcomes following the endoscopic modified Lothrop procedure. Laryngoscope 2007;117:765–9
11Gross, CW, Zachmann, GC, Becker, DG, Vickery, CL, Moore, DF Jr, Lindsey, WH et al. Follow-up of University of Virginia experience with the modified Lothrop procedure. Am J Rhinol 1997;11:4954
12Samaha, M, Cosenza, MJ, Metson, R. Endoscopic frontal sinus drillout in 100 patients. Arch Otolaryngol Head Neck Surg 2003;129:854–8
13Tran, KN, Beule, AG, Singal, D, Wormald, PJ. Frontal ostium restenosis after the endoscopic modified Lothrop procedure. Laryngoscope 2007;117:1457–62
14Weber, R, Hosemann, W, Draf, W, Keerl, R, Schick, B, Schinzel, S. Endonasal frontal sinus surgery with permanent implantation of a place holder [in German]. Laryngorhinootologie 1997;76:728–34
15Banhiran, W, Sargi, Z, Collins, W, Kaza, S, Casiano, R. Long-term effect of stenting after an endoscopic modified Lothrop procedure. Am J Rhinol 2006;20:595–9
16Amonoo-Kuofi, K, Lund, VJ, Andrews, P, Howard, DJ. The role of mitomycin C in surgery of the frontonasal recess: a prospective open pilot study. Am J Rhinol 2006;20:591–4
17Chan, KO, Gervais, M, Tsaparas, Y, Genoway, KA, Manarey, C, Javer, AR. Effectiveness of intraoperative mitomycin C in maintaining the patency of a frontal sinusotomy: a preliminary report of a double-blind randomized placebo-controlled trial. Am J Rhinol 2006;20:295–9
18Dubin, MG, Sonnenburg, RE, Melroy, CT, Ebert, CS, Coffey, CS, Senior, BA. Staged endoscopic and combined open/endoscopic approach in the management of inverted papilloma of the frontal sinus. Am J Rhinol 2005;19:442–5
19Herndon, M, McMains, KC, Kountakis, SE. Presentation and management of extensive fronto-orbital-ethmoid mucoceles. Am J Otol 2007;28:145–7
20Majithia, A, Tatla, T, Sandhu, G, Saleh, HA, Clarke, PM. Intracranial polyps in patients with Samter's triad. Am J Rhinol 2007;21:5963

Keywords

The frontal osteoplastic flap: does it still have a place in rhinological surgery?

  • A Y Isa (a1), J Mennie (a1) and G W McGarry (a1)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed