The frontal osteoplastic flap: does it still have a place in rhinological surgery?
OBJECTIVE
To review outcomes and complications in a series of adults undergoing a frontal osteoplastic flap procedure without obliteration, for endoscopically inaccessible sinus disease.


METHODS
Retrospective case note review of patients treated at Glasgow Royal Infirmary between January 2004 and October 2008.


RESULTS
Ten patients were identified (age range 19-81 years, mean age 46.3 years). No major intra- or post-operative complications occurred. There were three minor complications: superficial discharging wound, forehead swelling and haematoma.


CONCLUSIONS
The frontal osteoplastic flap still has a role in frontal sinus surgery. With minor technical modifications, this procedure may be performed with minimal complication and morbidity for patients with endoscopically inaccessible frontal sinus disease.
Department of ENT Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK. aidahisa@msn.com
A Y
AY
Isa
J
J
Mennie
G W
GW
McGarry
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005626:Frontal Sinus / Q000000981:diagnostic imaging / Q000601:surgery; D015522:Frontal Sinusitis / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000453:epidemiology / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000188:drug therapy; D016896:Treatment Outcome; D055815:Young Adult