In chronic frontal sinus infection with a compromised nasofrontal duct, especially with failure of more conservative types of surgery, total obliteration of the sinus is generally accepted as the most satisfactory from a curative standpoint. For esthetic reasons there has been reluctance to accept this type of surgery. Delayed plastic bony reconstruction or the osteoplastic flap operation1 has been offered to reduce cosmetic deformity. Obviously the osteoplastic flap technique is not suitable where there is disease of the bony anterior wall or floor, as this would entail the risk of incomplete eradication of diseased tissue. The aim of this paper is twofold. I present two cases in which obliterative surgery was deemed warranted as the most logical approach to a cure; Gelfoam packing was used to minimize the deformity with some benefit. Secondly, both cases are unusual in that they represent an attempt by nature to obliterate the
HIMALSTEIN MR. Chronic Frontal Sinusitis: Obliterative Surgery and Obliterative Disease. AMA Arch Otolaryngol. 1960;72(1):58–62. doi:10.1001/archotol.1960.00740010062010
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