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Updated: Aug 3, 2026
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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Frontal sinus obliteration with the pericranial flap
1Department of Otolaryngology, SUNY-Brooklyn, NY, USA.
Summary
The pericranial flap offers an effective, vascularized alternative for frontal sinus obliteration, avoiding donor site morbidity associated with traditional grafts. This method demonstrates good outcomes for various frontal sinus conditions.
Area of Science:
- Otolaryngology
- Neurosurgery
- Plastic Surgery
Background:
- Traditional autologous grafts (fat, muscle, bone) for frontal sinus obliteration risk resorption, infection, and donor site morbidity.
- Vascular regional flaps present a lower-morbidity option for obliterating smaller sinuses.
Observation:
- This study reviewed 10 patients undergoing frontal sinus obliteration using a pericranial flap.
- Indications included mucocele, mucopyocele, osteomyelitis, and fracture.
- Median follow-up was 3 years.
Findings:
- The pericranial flap proved effective for frontal sinus obliteration.
- One patient experienced short-term headache, and one had asymptomatic recurrence of a neofrontal sinus.
- No significant donor site morbidity was reported.
Implications:
- The pericranial flap is a readily harvested, vascularized local flap.
- It serves as a viable alternative to free grafts, mitigating associated risks.
- It provides head and neck surgeons with an effective option for frontal sinus obliteration.
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