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May 1969

Acrylic Frontal Cranioplasty

Author Affiliations

Ann Arbor, Mich
From the Department of Otorhinolaryngology, University of Michigan, Ann Arbor Mich.

Arch Otolaryngol. 1969;89(5):774-777. doi:10.1001/archotol.1969.00770020776020

CURRENT discussions of frontal sinus surgery have focused attention on contour saving procedures, especially the osteoplastic flap operation or its modifications. Such operations aim to obliterate the cavity of the sinus while preserving its anterior wall to avoid the severe cosmetic deformity which results from the classical Riedel operation.1 We prefer, when possible, to preserve frontal contour; however, a significant number of patients still require ablative surgery.

The degree of deformity incident to frontal sinus ablation depends primarily on the size of the frontal sinus—particularly in the anterior—posterior dimension. The defect of a bilateral frontal sinus ablation is frequently less conspicuous than its unilateral counterpart, but following either operation the deformity is usually significant. In response to this problem it is our purpose to present a simple and effective method of frontal contour restoration.

Method  The restoration can be done only after there is little or no likelihood of

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