Clinical and radiological evaluation of isolated frontal sinus disease: a case series
Keywords:Isolated frontal disease, Fungal sinusitis, Mucocele, Inverted papilloma, Draf procedures, Osteoplastic flap
Isolated frontal disease is a rare entity, although it has been widely discussed in literature. The frontal sinus features a wide variation in pneumatisation and drainage pattern and also has close proximity to the orbit and skull base. A retrospective study conducted at a tertiary care centre in South Kerala, between 2019 and 2021, identified five cases of isolated frontal diseases. Patients were diagnosed on the basis of clinical examination, radiological investigations and histology. Management decisions were based on size of the tumour, suspicion of malignancy and extend of disease.
Duvoisin B, Schnyder P. Do abnormalities of the frontonasal duct cause frontal sinusitis? A CT study in 198 patients. AJR Am J Roentgenol. 1992;159(6):1295-8.
Searyoh K, Lubbe D. Complications of rhinosinusitis. S Afr Fam Pract. 2018;60(5):17-20.
Ahmed ZE, Hisham SK. The prevalence of frontal cells and their relation to frontal sinusitis: A radiological study of the frontal recess area. Int Sch Res Notices. 2013;687582.
Obeso S, Llorente JL, Rodrigo JP, Sanchez R, Mancebo G, Suarez C. Paranasal sinuses mucoceles. Our experience in 72 patients. Acta Otorhinolaryngol Esp. 2009;60(5):332-9.
Lawson W, Ho BT, Shaari CM, Biller HF. Inverted papilloma: A report of 112 cases. Laryngoscope. 1995;105(3):282-8.
Gupta R, Gupta AK. Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach. J Laryngol Otol. 2013;127:274-8.
Cappello ZJ, Minutello K, Dublin AB. Anatomy, Head and Neck, Nose Paranasal Sinuses. In: Stat Pearls (Internet). Treasure Island (FL). 2020.
Renuka AB. The Lateral Nasal Wall. Anatomical Principles of Endoscopic Sinus Surgery: A Step by Step Approach. 2015;1:37-9.
Bent JP, Cuilty-Siller C, Kuhn FA. The frontal cell as a cause of frontal sinus obstruction. Am J Rhinol. 1994;8(4):185-91.
Marino MJ, McCoul ED. Frontal Sinus Surgery: The State of the Art. Int J Head Neck Surg. 2016;7(1):5-12.