Karen H.CalhounMDFrom the Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown
The ideal treatment of symptomatic chronic frontal sinusitis is an osteoplastic flap with fat obliteration.
Surgical management of frontal sinus disease was first described in the 19th century, and the resulting controversy continues to this day. Frontal sinus surgery makes up only a small portion of all paranasal sinus surgery, but it is particularly complex because of the need to preserve the nasofrontal duct, the frequent occurrence of postoperative nasofrontal duct obstruction, and the technical challenges in surgical exposure of the entire sinus. As Ellis1 said in 1954,
Kuppersmith RB, Ramadan HH. History of Frontal Sinus Surgery. Arch Otolaryngol Head Neck Surg. 2000;126(1):98-99. doi:10.1001/archotol.126.1.98