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Clinical Challenges in Otolaryngology
June 2005

Growing Obsolescence of the Frontal Sinus Obliteration Procedure

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Arch Otolaryngol Head Neck Surg. 2005;131(6):532-533. doi:10.1001/archotol.131.6.532

Over the past 25 years, endoscopic sinus surgery has rapidly matured. Endoscopic middle meatus antrostomy has replaced the Caldwell-Luc procedure, and endoscopic total ethmoidectomy has triumphed over external ethmoidectomy. The sphenoid sinus is now easily handled endoscopically, and endoscopic frontal sinus surgeons are constantly transcending previous limitations. The question raised by Dr Sillers is appropriate: Is the time-honored osteoplastic flap and frontal sinus obliteration an “operation for the archives?”1,2

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