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In Reply.—I am interested in the concern expressed by Dr Olson regarding the safety of the cranialization operation for complex penetrating frontal sinus fractures. Concern for the safety of this procedure has been expressed by a few other head and neck surgeons involved in the care of facial fracture patients. I have yet to encounter a mucocele in my series of patients, nor have similar cases of mucocele formation been reported by a number of my colleagues who are using the procedure.
The safety of the procedure, I believe, is embodied in the ability to have free visual access to all reaches and ramifications of the sinus afforded by the exposure of the craniotomy necessary to repair the cerebral wounds. Once the posterior wall is removed, only the anterior wall, the floor, and the anterior wall fragments need be divested of the mucosa, which is a relatively easy thing to
DONALD PJ. Frontal Sinus Ablation-Reply. Arch Otolaryngol. 1982;108(11):749. doi:10.1001/archotol.1982.00790590071020
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