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Related Experiment Videos

[Cranialization of the frontal sinus].

E Ameline1, I Wagner, H Delbove

  • 1Service d'ORL et chirurgie cervico-faciale, Hôpital Foch, 40 rue Worth BP 36, 92151 Suresnes.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|March 23, 2002
PubMed
Summary

Frontal sinus cranialization is a valuable surgical exclusion technique for select patients, offering good outcomes with low morbidity. This method is indicated for specific conditions when other treatments fail.

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Head and Neck Surgery

Background:

  • The role of frontal sinus cranialization in surgical exclusion remains debated.
  • This technique is considered for complex cases where standard approaches are insufficient.

Purpose of the Study:

  • To detail the operative technique for frontal sinus cranialization.
  • To present surgical outcomes and discuss indications for this procedure.

Main Methods:

  • Nineteen patients underwent frontal sinus cranialization between 1984 and 1997.
  • Indications included tumors, osteitis, trauma, mucoceles, and refractory chronic sinusitis.
  • Cranialization was a secondary option after failed functional surgery or when sinus obliteration was unsuitable.

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Main Results:

  • No mortality or procedure-related anosmia occurred.
  • Postoperative complications were associated with the underlying disease or surgical approach.
  • Median follow-up of 29 months showed no recurrence of the disease.

Conclusions:

  • Frontal sinus cranialization yields favorable results in carefully selected patients.
  • The procedure is associated with low morbidity and has a defined place in frontal sinus surgical exclusion.
  • Despite infrequent indications, it offers a viable solution for complex frontal sinus pathologies.