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Frontal sinus osteomyelitis with midline fistula
Abhishek Jaswal1, Avik Kumar Jana, Biswajit Sikder
1Department of Otorhinolaryngology, Calcutta National Medical College, Avik Kumar Jana, C/O Asoke Kr. Jana, Model Town, Garia, Balia, Kolkata, 84 W. B. India ; National Medical College, 24 Gorachand Road, Kolkata, 700 014 India.
Abstract:
Chronic osteomyelitis of frontal sinus is a rare complication of recurrent sinusitis. The pent-up secretions in the sinus may result in pressure necrosis of the containing wall of frontal sinus resulting in persistently discharging fistula. Here we present a case of chronic osteomyelitis of frontal sinus with persistent midline fistula over forehead in a 30 year old male managed surgically by osteoplastic flap procedure and frontal sinus obliteration with abdominal fat.
Insights
Chronic osteomyelitis of the frontal sinus, a rare complication of recurrent sinusitis, can lead to persistent fistulas. Surgical management using an osteoplastic flap and fat obliteration effectively treated a forehead fistula in a 30-year-old male.
Area of Science:
- Otolaryngology
- Neurosurgery
- Infectious Diseases
Background:
- Chronic osteomyelitis of the frontal sinus is a rare but serious complication of recurrent sinusitis.
- Accumulated sinus secretions can cause pressure necrosis, leading to persistent discharging fistulas.
- Frontal sinus fistulas present a diagnostic and therapeutic challenge.
Purpose of the Study:
- To report a case of chronic frontal sinus osteomyelitis with a persistent midline forehead fistula.
- To describe the successful surgical management of this rare condition.
Main Methods:
- Case presentation of a 30-year-old male with a persistent midline forehead fistula.
- Surgical intervention involved an osteoplastic flap procedure.
- Frontal sinus obliteration was performed using abdominal fat.
Main Results:
- The surgical approach successfully managed the chronic osteomyelitis and persistent fistula.
- The patient experienced resolution of the discharging fistula post-operatively.
- The osteoplastic flap and fat obliteration provided a durable closure and reconstruction.
Conclusions:
- Chronic frontal sinus osteomyelitis with fistula formation requires surgical intervention.
- Osteoplastic flap surgery combined with frontal sinus obliteration is an effective treatment strategy.
- This approach offers a viable solution for complex frontal sinus pathologies.
