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August 1960

Frontal Sinus Osteoma: Anterior Wall Osteoplastic Approach

Author Affiliations

U. S. Army, Chicago; U. S. Army; Phoenixville, Pa.
Resident in Otolaryngology, University of Illinois, Chicago (Capt. Newell); Chief, Otolaryngology Service (Capt. Hanna), and Consultant in Otolaryngology (Dr. Smith), Valley Forge Army Hospital, Phoenixville, Pa.

Arch Otolaryngol. 1960;72(2):248-250. doi:10.1001/archotol.1960.00740010253017

Osteoma of the frontal sinus is a well-known clinical and pathological entity, and no attempt will be made to present it completely. These tumors when large are difficult to remove without sacrificing a considerable portion of the anterior wall of the sinus. This results in a postoperative deformity which requires plastic surgery. The purpose of this paper is to illustrate that the osteoplastic approach to the frontal sinus, as described by Goodale and Montgomery,1 is ideal for the removal of these tumors. The anterior wall osteoplastic approach is not new; indeed, it is only one of many external approaches to the frontal sinus. Goodale and Montgomery recently presented their experiences with this operation for the treatment of chronic frontal sinusitis and gave an excellent step-by-step description of their technique. We followed their method in detail in our operation. We have not described the operative technique in this report, but