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Surgical Treatment of Mucoceles of the Frontal Sinus and Existing Complications. (Illustrated by motion picture.) Dr. Marvin J. Tamari and Dr. Stanley H. Bear.
The surgical treatment of mucocele of the frontal sinus usually falls into one of three categories: (1) diagnostic exploration, (2) removal of the mucocele and establishment of a patent nasofrontal duct, and (3) the management of existing complications found at operation.Less than 50% of the diagnoses are confirmed by both x-ray and clinical findings. Many cases must be handled on an exploratory basis in order to establish the diagnosis and indicate treatment. Even with the classic signs of downward, forward, and lateral displacement of the eyeball or an associated diplopia, a presumptive diagnosis is all that can be made unless there is definite evidence of a bony break-through. We feel that open exploration with frozen section microscopic examination is the best method of obtaining a