Enlargement of Frontal Sinus, Case Report

Frontal sinus enlargement has been classified into hypersinus, pneumosinus dilatans and pneumocele.

A young male presented with aesthetic concerns regarding his forehead swelling. The patient had no functional disturbances. Radiographic assessment proved expansion of the frontal sinus with extreme thinning of the frontal bone.

The causes of frontal sinus expansion have been listed along with a proposed management plan for each type. If blockage is suspected, functional endoscopic sinus surgery can alleviate the blockage. Open surgery is indicated when the element presents as an aesthetic concern. Obliteration of the sinus is indicated with NF obstruction. And reshaping of the anterior table is the mainstay to correct the enlargement.

Frontal sinus enlargement regardless of the cause can be tackled using well known principles. We believe that every plastic surgeon should have a basic understanding of frontal sinus enlargement and its management.

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