Frontal sinus osteomyelitis with midline fistula.

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.