+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Modified osteoplastic flap approach for frontal sinus disease

Modified osteoplastic flap approach for frontal sinus disease

Annals of Otology Rhinology and Laryngology 121(3): 192-196

We review the use and outcomes of osteoplastic flap surgery in the current era of almost entirely endoscopic management of frontal sinus disease. A retrospective review was performed of 312 consecutive sinus surgeries performed for frontal sinus disease at the University of Iowa Hospitals and Clinics from July 2002 to July 2008. Seventeen subjects (10 men and 7 women; mean age, 56 years) were identified. The indications for osteoplastic flap surgery were laterally located mucoceles in 8 patients, tumors in 7 patients, and osteomyelitis in 2 patients. Ten patients had skull base erosion, and 5 underwent cranialization for large posterior frontal bone defects. The average blood loss was 175 mL, and the average hospital stay was 3 days. There were no major intraoperative or perioperative complications. Two patients with mucoceles required revision surgery for disease recurrence. The mean follow-up was 25 months (range, 6 to 66 months). Osteoplastic flap surgery is an uncommon procedure in the modern endoscopic era of sinus surgery. In our series it was most commonly indicated for laterally located disease. Osteoplastic flap surgery is relatively safe and effective for a wide range of recalcitrant and complicated frontal sinus disorders.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054424230

Download citation: RISBibTeXText

PMID: 22530480

DOI: 10.1177/000348941212100309

Related references

Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease. American Journal of Rhinology 14(1): 21-26, 2000

Frontal sinus transillumination approach to the osteoplastic flap. Journal of Otolaryngology 31(2): 118-119, 2002

Osteoplastic flap technique for disease of the frontal sinus. Surgery Gynecology and Obstetrics 132(3): 505-510, 1971

Computed tomography-generated templates: a new approach to frontal sinus osteoplastic flap surgery. American Journal of Rhinology 18(5): 285-9; Discussion 289-90, 2004

Computed Tomography-Generated Templates: A New Approach to Frontal Sinus Osteoplastic Flap Surgery. American Journal of Rhinology 18(5): 285-290, 2004

Superiorly based osteoplastic flap for frontal sinus disease. Journal of Otolaryngology 17(7): 395-397, 1988

Complicated frontal sinus disease treated by the osteoplastic flap operation. Journal of Laryngology and Otology 87(6): 565-572, 1973

Current aspects of frontal sinus surgery. II: External frontal sinus operation--osteoplastic approach. Hno 43(6): 358-363, 1995

Osteoplastic Flap for Frontal Sinus Obliteration in the Era of Image-Guided Endoscopic Sinus Surgery. American Journal of Rhinology 19(4): 406-410, 2005

Osteoplastic flap for frontal sinus obliteration in the era of image-guided endoscopic sinus surgery. American Journal of Rhinology 19(4): 406-410, 2005

Frontal sinus obliteration without osteoplastic flap. Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology 31(1): 90-91, 1978

Osteoplastic flap used in surgery of the frontal sinus. Revista de Chirurgie Oncologie Radiologie O.R.L. Oftalmologie Stomatologie. Oto-Rino-Laringologia 20(1): 15-18, 1975

Access to the frontal sinus with a mini osteoplastic flap. Operative Techniques in Otolaryngology-Head and Neck Surgery 15(1): 53-56, 2004

A safe technique for frontal sinus osteoplastic flap. Laryngoscope 101(8): 908-910, 1991

Osteoplastic frontal sinus flap. Study of 47 cases. Acta Otorrinolaringologica Espanola 49(5): 380-384, 1998