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Clinical Challenges
June 2005

Frontal Sinus Obliteration: An Operation for the Archives or Modern Armamentarium

Author Affiliations




Arch Otolaryngol Head Neck Surg. 2005;131(6):529-531. doi:10.1001/archotol.131.6.529

Financial Disclosure: None.

Hypothesis: Osteoplastic frontal sinusotomy with obliteration is still a viable option for the treatment of frontal sinus abnormality.

Osteoplastic frontal sinusotomy with obliteration was popularized by Goodale and Montgomery1 in the 1950s and has been considered the gold standard procedure for the surgical management of frontal sinus disease for many years.1 However, with advancements in functional endoscopic sinus surgery since the mid 1980s, the role of this operation has been questioned. Goodale and Montgomery1 in 1958 and Hardy and Montgomery2 in their subsequent review article describe the results of osteoplastic frontal sinusotomy with fat obliteration in 250 patients. Abnormalities included chronic frontal rhinosinusitis, frontal sinus mucocele, frontal sinus fractures, and complicated acute frontal rhinosinusitis. Patients were evaluated clinically using plain radiography and early-generation computed tomography.