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Endoscopic correction of frontal bossing.
Bahman Guyuron1, Michelle Lee, Kelsey Larson
1Cleveland, Ohio; and Dallas, Texas From the Department of Plastic Surgery, Case Western Reserve University, and the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Plastic and Reconstructive Surgery
|March 1, 2013
Summary
Endoscopic correction offers a safe and effective surgical option for frontal bossing, providing moderate aesthetic improvement. This minimally invasive technique is best suited for mild deformities with adequate frontal sinus wall thickness.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Minimally Invasive Techniques
Background:
- Frontal bossing, a supraorbital prominence, has traditionally been corrected via open surgery.
- An endoscopic approach offers a less invasive alternative for aesthetic correction.
Purpose of the Study:
- To evaluate the efficacy and safety of an endoscopic surgical technique for correcting frontal bossing.
- To assess aesthetic outcomes and identify limitations of the endoscopic approach.
Main Methods:
- Retrospective review of patients undergoing endoscopic frontal bossing repair (2002-2009).
- Analysis of demographics, surgical course, and outcomes using standardized photographs.
- Aesthetic improvement assessed by blinded observers on a four-point scale.
- Preoperative imaging evaluated anterior frontal sinus wall thickness.
Main Results:
- Ten patients underwent the procedure with moderate aesthetic improvement (2.67/4.0 scale).
- All procedures were outpatient; no major complications were reported.
- Inadequate anterior frontal sinus wall thickness was a limiting factor for optimal results.
Conclusions:
- Endoscopic correction of frontal bossing is a safe and effective aesthetic surgical technique.
- Ideal candidates have mild frontal bossing and a sufficiently thick anterior frontal sinus wall.
