Use of anteriorly based pericranial flap in frontal sinus obliteration.
OBJECTIVE
In an era of endoscopic sinus surgery, frontal sinus obliteration continues to remain an important treatment option in chronic frontal sinus disease. Numerous avascular obliterative materials including fat, muscle, cancellous bone, and hydroxyapatite have been used in this procedure. In this article, we describe a vascularized anteriorly based pericranial flap to obliterate frontal sinus.


METHODS
Retrospective chart review of patients referred to tertiary care hospital between 1996 and 2003.


METHODS
Records of the patients who underwent this procedure were reviewed. Demographics, indications, and immediate and late complications were recorded. A phone questionnaire was used to assess patient satisfaction with the outcome.


RESULTS
A total of 12 patients underwent frontal sinus obliteration with this technique. Mean follow-up was 40 months. None of the patients developed recurrent frontal sinusitis. All of the patients were pleased with the outcome.


CONCLUSIONS
Pericranial flap is a highly vascularized flap that is easily harvested and is an effective and viable modality for obliterating frontal sinus.


METHODS
C-4.
Moshaver
Ali
A
Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.
Harris
Jeffery R
JR
Seikaly
Hadi
H
D000328:Adult; D000368:Aged; D005205:Fascia / Q000637:transplantation; D005260:Female; D005357:Fibrous Dysplasia of Bone / Q000601:surgery; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000601:surgery; D005626:Frontal Sinus / Q000601:surgery*; D015522:Frontal Sinusitis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000601:surgery; D009092:Mucous Membrane / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D010254:Paranasal Sinus Diseases / Q000601:surgery; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome