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Updated: Jun 23, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Middle turbinate hinge flap for frontal recess obliteration following prior cranialization
Zachary M Soler1, Ayesha N Khalid, Timothy L Smith
1Division of Rhinology and Sinus Surgery, Oregon Sinus Center, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA.
Abstract:
Frontal sinus cranialization is an established procedure utilized in instances wherein the posterior table has been irreversibly compromised. A known complication of this procedure is pneumocephalus, which may develop if the frontal recess has not been fully separated from the cranialized sinus. We report 3 cases wherein massive pneumocephalus developed after cranialization of the frontal sinus. In each case, a novel endoscopic repair was undertaken utilizing a middle turbinate hinge flap to obliterate the frontal recess. In each instance, obliteration of the frontal recess resulted in durable resolution of pneumocephalus.
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