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Arch Otolaryngol Head Neck Surg. 2000;126:98-99.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis:

The ideal treatment of symptomatic chronic frontal sinusitis is an osteoplastic flap with fat obliteration.

Figure appears in full text version. Hassan H. Ramadan, MD

BACKGROUND

Surgical management of frontal sinus disease was first described in the 19th century, and the resulting controversy continues to this day. Frontal sinus surgery makes up only a small portion of all paranasal sinus surgery, but it is particularly complex because of the need to preserve the nasofrontal duct, the frequent occurrence of postoperative nasofrontal duct obstruction, and the technical challenges in surgical exposure of the entire sinus. As Ellis¹ said in 1954,

surgical treatment of chronic frontal sinusitis is difficult, often unsatisfactory and sometimes disastrous. The many surgical techniques available are expressions of our uncertainty and perhaps so our failure.

PRO

CON

BOTTOM LINE