title: Hypertrophic frontal sinus reduction by using anterior wall internalization and galeal frontalis flap obliteration.
abstract: In this article, we are introducing the use of galeal-frontalis flap to reduce hypertrophic sinus based on 1 case: a 25-year-old amateur boxer who had prominent frontal area due to hypertrophic frontal sinus. Three-dimensional reformatted computed tomography scans were obtained for evaluation of the hypertrophy and the morphology of the frontal sinus. Reduction of the hypertrophic frontal sinus was performed by resection and shaping of the anterior wall and obliteration of the frontal sinus by right-side galeal-frontalis flap excision via bicoronal approach. The trimmed anterior wall was inserted into the frontal sinus and secured with three 3.0 PDS sutures to the bone edges, and the incision was closed. The outcome was satisfactory without any complications during 1-year follow-up, and sixth-month computed tomography scans revealed no bone resorption. Here we are introducing a novel technique to reduce hypertrophic sinus based on a clinical report.
authors.affiliation: Kirikkale University, School of Medicine, Plastic Reconstructive and Aesthetic Surgery Department, Kirikkale, Turkey. ilkeryazici@gmail.com
authors.forename: Ilker
authors.initials: I
authors.lastname: Yazici
authors.forename: Tarik
authors.initials: T
authors.lastname: Cavusoglu
authors.forename: Esen Ibrahim
authors.initials: EI
authors.lastname: Karakaya
authors.forename: Altughan Cahit
authors.initials: AC
authors.lastname: Vural
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Vargel
mesh_terms: D000328:Adult; D001914:Boxing; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D006984:Hypertrophy; D008297:Male; D013524:Surgical Flaps; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed