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Osteoplastic Flap to Approach Frontal Sinus Diseases
Nanda K Sahoo1, Himani Vaswani2
1Oral and Maxillofacial Surgery, Subharti Dental College.
The Journal of Craniofacial Surgery
|May 26, 2026
Summary
The osteoplastic flap (OPF) offers excellent access for complex frontal sinus surgery. This review details OPF indications, techniques, and complications, highlighting its continued relevance in select cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Oncology
Background:
- The osteoplastic flap (OPF) is a long-standing surgical approach for frontal sinus access.
- While endoscopic techniques have advanced, OPF remains valuable for specific complex conditions.
Purpose of the Study:
- To review the indications, surgical technique, advantages, disadvantages, and complications of the OPF.
- To assess the continued relevance of OPF in modern surgical practice.
Main Methods:
- Review of historical and contemporary literature on the osteoplastic flap.
- Summary of surgical steps including preoperative imaging, incision, and flap elevation.
- Analysis of indications, contraindications, and potential complications.
Main Results:
- OPF is indicated for refractory sinusitis, mucoceles, neoplasms, trauma, and cranialization.
- Advantages include excellent anatomic access and good healing due to preserved vascularity.
- Potential complications include bone necrosis, cosmetic issues, CSF leak, and neuralgia.
Conclusions:
- The osteoplastic flap remains an indispensable option for select complex frontal sinus pathologies.
- It provides superior access when minimally invasive endoscopic approaches are insufficient.
