The mini osteoplastic flap for eroded anterior table: case report

Authors

  • Manish Munjal Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Porshia Rishi Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Harjinder Sidhu Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Ojassvi Rishi Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shivam Talwar Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Salony Sharma Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20205638

Keywords:

Osteoplastic flap, Frontal sinusitis, Endoscope, Anterior table

Abstract

Trans-nasal Endoscopic access to the frontal sinus is in vogue now a days with advancements imaging modalities and availability of angled instrumentation. The external osteoplastic flap approach to the frontal sinus is still applicable in failed endoscopic procedures, laterally placed pathologies or eroded anterior or posterior tables. We discuss an intriguing patient with chronic dull ache over the forehead being treated with a mini osteoplastic flap technique. There is no single approach that has been able to fulfil the criteria for the modality of choice in terms of excellent results, no recurrence or residual disease, minimal morbidity, short hospital stays, uneventful long-term postoperative course, and good cosmesis in cases of extensive disease involvement. The main objective of this study was to study the outcome of external frontal sinus osteoplastic flap approach in terms of intraoperative disease clearance for extensive frontal sinus lesions beyond the scope of endoscopic excision.  

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Author Biography

Manish Munjal, Department of ENT and HNS, Dayanand Medical College, Ludhiana, Punjab, India

Professor and Head, Deptt of ENTHNS

References

Jones NS. Management of frontal sinuses. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Richardson MA, editors. Cummings otolaryngology head and neck surgery. 5th ed. Philadelphia, PA: Elsevier. 2010;781-4.

Silverman JB, Gray ST, Busaba NY. Role of osteoplastic frontal sinus obliteration in the era of endoscopic sinus surgery. Int J Otolaryngol. 2012;2012:501896.

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.

Gur OE, Yilmaz ND, Ensari N. Isolated frontal sinus surgery pathologies. J Clinic Analytic Medic. 2017;8(3):235-8.

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.

Banks CG, Garcia JA, Grayson J, Yeon Cho D, Woodworth BA. Osteoplastic flap without obliteration: how I do it. Am J Rhinol Aller. 2018;32(5):346-9.

Tato JM, Bergaglio OE. Cirurgia del frontal injerto de grosa. Nueva tecnica (surgery of frontal sinus. Fat grafts: new technique. Otolaryngologica 3:1, Oct. 1949) cited according Tato, Sibbald and Bergaglio. Laryngoscope. 1954;64:504-21.

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Published

2020-12-24

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Section

Case Reports