Frontal bone defect with frontal sinus mucopyocele.
For this patient's treatment, all three consultants advise against the Lynch-type frontoethmoidectomy procedure, with or without mucoperiosteal flap reconstruction of the nasofrontal duct. Treatment plan: Culture and sensitivity of pus; 2-3 weeks of intravenous antibiotics followed by osteoplastic flap fat obliteration of frontal sinus; delayed defect repair with methyl methacrylate (Montgomery). Trephination followed by treatment with local and systemic antibiotics (Donald); removal of infected bone and soft tissue (sinus collapse) and delayed defect repair in 6-12 months (Donald, Calcaterra) with metylmethacrylate (Donald) or in situ cured silicone elastomer (Calcaterra).
Donald
P J
PJ
Department of Otolaryngology, University of California-Davis School of Medicine, Davis-Sacramento Medical Center.
Montgomery
W W
WW
Calcaterra
T
T
D001847:Bone Diseases / Q000601:surgery; D005624:Frontal Bone / Q000601:surgery; D005626:Frontal Sinus / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009078:Mucocele / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*