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Updated: Apr 1, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Delayed endoscopic reconstruction of the anterior wall of the frontal sinus: Technical note]
X-A Mommers1, N Zwetyenga1, J-P Meningaud2
1Service de stomatologie, chirurgie maxillo-faciale, chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, CHU Le Bocage, boulevard de-Lattre-de-Tassigny, 21000 Dijon, France.
Introduction:
Reconstruction of the anterior wall of the frontal sinus usually requires a coronal incision. This extended approach may lead to paresthesia, unsightly scars, bruises and cicatricial alopecia. These complications encouraged several authors to endoscopic management of this kind of fractures. We present a delayed technique of reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling.
Technical Note:
Two incisions were performed behind the hair line. Subperiosteal dissection using a periosteal elevator was performed. A 30° angled endoscope was used to visualize the depression. The latter was filled by Hydroset® (Stryker, USA) as a bone substitute.
Discussion:
In the absence of contra-indication, the reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling has many advantages including uneventful outcome, reduction of the hospital stay and a fast learning curve.
