Over the years various operations have been devised to deal with cases of chronic frontal sinusitis. The fact that so many procedures have been described shows that none is entirely satisfactory in all types of cases.
Quoting from a recent article by Woods1:
These operations range from the completely obliterative operation of the Riedel type at one end of the scale, to the simple drainage operation of the Howarth type at the other. Occupying the midposition we find the Killian operation and its modifications, making an effort at both obliteration and drainage. The obliterative type of operation cures the disease, but is ruled out of ordinary practice by the deformity it creates. The drainage type of operation produces no deformity, but leaves the disease still in situ, and is in fact frankly palliative, aiming at relieving the patient of his symptoms without eradicating the disease. Practically every writer on
TREMBLE GE. Frontal Sinus Drainage. AMA Arch Otolaryngol. 1956;63(3):254–259. doi:10.1001/archotol.1956.03830090026006
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