title: A golden experience: Fifty years of experience managing the frontal sinus.
abstract: OBJECTIVE
  The frontal sinus is one of the most anatomically complex and inaccessible of the paranasal sinuses. As a result, surgeons have continually tried to improve surgical management of the frontal sinus. The senior author (c.w.g.) shares 50 years of experience managing the frontal sinus.
  
  
  METHODS
  PubMed literature search.
  
  
  METHODS
  Review of the literature regarding landmark innovations in frontal sinus surgery.
  
  
  RESULTS
  Open approaches established that the frontal sinus is accessible, and in certain circumstances, such as with large osteoma or papilloma, are still required. The endoscope changed the surgical landscape and allowed for greater finesse and decreased morbidity. Sinus balloon dilation is the newest change in frontal sinus management and shows promise in properly selected cases.
  
  
  CONCLUSIONS
  Surgery of the frontal sinus continues to evolve and improve. Although there are new techniques, the older techniques are still pertinent.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center San Antonio (p.g.c.), San Antonio, Texas.
authors.forename: Philip G
authors.initials: PG
authors.lastname: Chen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Adelaide, Adelaide, South Australia, Australia.
authors.forename: Peter-John
authors.initials: PJ
authors.lastname: Wormald
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia.
authors.forename: Spencer C
authors.initials: SC
authors.lastname: Payne
authors.affiliation: Murfreesboro Clinic Otolaryngology, Murfreesboro, Tennessee, U.S.A.; and.
authors.forename: William E
authors.initials: WE
authors.lastname: Gross
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia.
authors.forename: Charles W
authors.initials: CW
authors.lastname: Gross
mesh_terms: D005626:Frontal Sinus; D006801:Humans; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D013997:Time Factors
keywords: Frontal sinus; Lothrop procedure; balloon dilation; chronic sinusitis; endoscopic sinus surgery; stent