Implication of osteoplastic flap for frontal sinus surgery in the endoscopic era

Authors

  • Aishwarya Raj Pillai Devaraj Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Kothegala Chandrashekariah Prasad Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Abhilasha Karunasagar Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Manna Jose Pappanacherry Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Harshitha Naganna Gowda Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Sreelekshmi Sukumaran Nair Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka
  • Brindha Hennur Subramani Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20194958

Keywords:

Frontal sinus disease, Osteoplastic frontal sinus flap, Endoscopic sinus surgery

Abstract

In the present era where functional endoscopic sinus surgery is the mainstay of management for any frontal sinus disease, we present a case series comprising six cases of various frontal sinus pathology that were managed with an external approach using a bicoronal osteoplastic flap technique of which three cases were of inverted papilloma, one case of allergic fungal rhinosinusitis, one case of frontal mucocele and a case of road traffic accident with frontal bone and nasal bone fracture. The cases had a mean follow-up period of 6 months. There was no recurrence of disease and no significant postoperative complications have been reported during the follow-up period so far. Osteoplastic anterior wall approach to the frontal sinus has proved to be one of the most effective, simple, and reliable procedures with excellent success rate and good cosmesis.

Metrics

Metrics Loading ...

Author Biographies

Aishwarya Raj Pillai Devaraj, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

JUNIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Kothegala Chandrashekariah Prasad, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

PROFESSOR AND UNIT HEAD

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Abhilasha Karunasagar, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

SENIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Manna Jose Pappanacherry, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

SENIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Harshitha Naganna Gowda, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

JUNIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Sreelekshmi Sukumaran Nair, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

JUNIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

Brindha Hennur Subramani, Department of Otorhinolaryngology Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka

JUNIOR RESIDENT

DEPARTMENT OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY

References

Jones NS. Management of frontal sinuses. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA (eds). Cummings otolaryngology head and neck surgery. 5th edition. Philadelphia, PA: Elsevier; 2010: 781–784.

Conger BT, Illing E, Bush B, Woodworth BA. Management of Lateral Frontal Sinus Pathology in the Endoscopic Era . SAGE J. 2014:159-63.

Bockmuhl U, Kountakis SE, Senior BA. Wolfgang Draf osteoplastic frontal sinusotomy and reconstruction of frontal defects. In: Kountakis SE, Senior A, Draf W, editors. Frontal sinus stilianos, thieme. New York: Springer; 2005: 281–290.

Weber R, Draf W, Kahle G, Kind M. Obliteration of the frontal sinus − state of the art and reflections on new materials. Rhinol. 1999;37:1–15.

Weber R, Draf W, Keerl R, Kahle G, Schinzel S, Thomann S, Lawson W. Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imaging in 82 operations. Laryngoscope. 2000;110:1037–44.

Rajapaksa SP, Ananda A, Cain T, Oates L, Wormald PJ. The effect of the modified endoscopic Lothrop procedure on the mucociliary clearance of the frontal sinus in an animal model. Am J Rhinol. 2004;18:183–7.

Wormald PJ, Ananda A, Nair S. The modified endoscopic Lothrop procedure in the treatment of complicated chronic frontal sinusitis. Clin Otolaryngol Allied Sci. 2003;28:215–20.

Kim E, Cutler JL. Balloon dilatation of the paranasal sinuses: a tool in sinus surgery. Otolaryngol Clin North Am. 2009;42:847–56.

Ogston A. Trephining the frontal sinus for catarrhal diseases. Men Chron Manchester. 1884;1:235

Coakley CG. Frontal sinusitis: diagnosis, treatment, and results. Trans Am Laryngol Rhinol Otol Soc. 1905;11:101.

Knapp A. The surgical treatment of orbital complications in disease of the nasal accessory sinuses. JAMA. 1908;51:299.

Lothrop HA. XIV. Frontal sinus suppuration: the establishment of permanent nasal drainage; the closure of external fistulae; epidermization of sinus. Ann Surg. 1914;59:937–57.

Lynch RC. The technique of a radical frontal sinus operation which has given me the best results. Laryngoscope. 1921;31:1.

Howarth WG. Operations on the frontal sinus. J Laryngol Otol. 1921;36:417–21.

Tato JM, Bergaglio OE. Cirurgia del frontal injerto de grosa. Nueva tecnica. Laryngoscope. 1954;64:504–21.

Goodale RL, Montgomery WW. Experience with osteoplastic anterior wall approach to the frontal sinus. Arch Otolaryngol. 1958;68:271.

Hardy JM, Montgomery WW. Osteoplastic frontal sinusotomy: an analysis of 250 operations. Ann Otol Rhinol Laryngol. 1976;85(Pt 1):523–32.

Volpi L, Pistochini A, Bignami M, Meloni F, Turri Zanoni M, Castelnuovo P. A novel technique for tailoring frontal osteoplastic flaps using the ENT magnetic navigation system. Acta Otolaryngol. 2012;132:645-50.

Ulualp 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.

Downloads

Published

2019-10-23

How to Cite

Devaraj, A. R. P., Prasad, K. C., Karunasagar, A., Pappanacherry, M. J., Gowda, H. N., Nair, S. S., & Subramani, B. H. (2019). Implication of osteoplastic flap for frontal sinus surgery in the endoscopic era. International Journal of Otorhinolaryngology and Head and Neck Surgery, 5(6), 1717–1722. https://doi.org/10.18203/issn.2454-5929.ijohns20194958