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An Operation for the Archives or Modern Armamentarium

Arch Otolaryngol Head Neck Surg. 2005;131:529-531.

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

Hypothesis: Osteoplastic frontal sinusotomy with obliteration is still a viable option for the treatment of frontal sinus abnormality.

BACKGROUND

Osteoplastic frontal sinusotomy with obliteration was popularized by Goodale and Montgomery¹ in the 1950s and has been considered the gold standard procedure for the surgical management of frontal sinus disease for many years.¹ However, with advancements in functional endoscopic sinus surgery since the mid 1980s, the role of this operation has been questioned. Goodale and Montgomery¹ in 1958 and Hardy and Montgomery² in their subsequent review article describe the results of osteoplastic frontal sinusotomy with fat obliteration in 250 patients. Abnormalities included chronic frontal rhinosinusitis, frontal sinus mucocele, frontal sinus fractures, and complicated acute frontal rhinosinusitis. Patients were evaluated clinically using plain radiography and early-generation computed tomography.

Figure appears in full text version. Michael J. Sillers, MD

In the last 20 years numerous articles have been written about the endoscopic management of frontal sinus disease. Technology and instrumentation . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE

AUTHOR INFORMATION

Michael J. Sillers, MD
Author Affiliations: Division of Otolaryngology–Head and Neck Surgery, University of Alabama at Birmingham.

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