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The patient's recovery was uneventful.Įndoscopy employed in frontal sinus obliteration appears to be instrumental in obtaining meticulous mucosa removal, obviating the need for additional osteotomy of the frontal bone. The fracture by itself offered an “access port” for the endoscope and electrical cautery. To avoid additional osteotomy, endoscopic approach was undertaken to achieve the complete removal of the sinus mucosa. Objective: Determining the indications for osteoplastic frontal sinus obliteration (OFSO) for the treatment of inflammatory frontal sinus disease.

and possible sinus obliteration to assure fracture reduction, fixation. Due to the extent of the injury he underwent frontal sinus obliteration procedure using the pericranial flap. Frontal sinus fractures contribute to 5-15 of all facial fractures and are most. Vascular regional flaps may be used to obliterate small sinuses with less morbidity. Several autologous and alloplastics materials are used for this obliteration. Fat obliteration is very common but not devoid of. These avascular grafts carry an increased risk of resorption and infection as well as donor site morbidity. frontal sinusitis complicated with chronic osteomielitis, is the cleaning and curettage of the sinus with obliteration of the sinus cavity and nasofrontal duct. Frontal sinus obliteration is accomplished with many materials such as fat, bone, muscle and alloplasts. The authors’ patient suffered from comminuted fractures of the anterior and posterior tables of the frontal sinus and nasal bone fractures with involvement of the frontonasal ducts. Background: Frontal sinus obliteration is often accomplished by autologous grafts such as fat, muscle, or bone. Therefore, it may be also considered an adjunct in open-approach management of severely comminuted fractures. Endoscopy, offering magnified visualization and less invasive access, is reported to be beneficial in sinus injury management. This vascularized flap is easily and quickly. This in turn increases fracture comminution requiring placement of additional hardware associated with the risk for bony malalignment, infection, plate palpability, and visibility, especially in thin-skin individuals. The pericranial flap is a local flap that can be used to obliterate small- and medium-sized frontal sinuses.

To achieve adequate access to the mucosa, temporary removal of a large part of the frontal bone may often be necessary. Successful frontal sinus obliteration requires (1) meticulous removal of the frontal sinus mucosa, (2) removal of the inner cortex of the sinus wall, and (3) permanent occlusion of the nasofrontal duct. This technique entails precise mucosa removal which requires unimpeded visualization of the bony recesses. The controversies concerning obliteration of the frontal sinus in response to trauma, infection, or tumor growth are long-standing (1913 to the present) and related to the field of training of the surgeon. Comminuted fractures of the anterior table of the frontal sinus involving frontonasal ducts are traditionally treated with sinus obliteration.