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RICHARD L. GOODE, MD
Stanford, Calif

Arch Otolaryngol Head Neck Surg. 1986;112(9):993.

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

To the Editor.—I read with interest the article by Rubin et al¹ in the April 1986 issue of the Archives regarding the use of the Lynch-Howarth operation for mucoceles of the frontoethmoidal region. Certainly their recurrence rate of 4% is much better than rates reported by others.

As noted in the article, the major cause of failure of the Lynch-Howarth operation is inability to maintain an adequate opening between the sinus and the nose so that proper ventilation and drainage occur. The authors feel that placement of a 1-cm fenestrated silicone rubber tube between the sinus and nose for five months is one reason for their excellent results. Another reason might be opening the intersinus septum, which they did in all cases.

In unilateral disease of the frontal sinus, including mucoceles, excision of irreversible sinus disease plus intersinus septectomy is an extremely effective surgical technique^2,3 and usually . . . [Full Text PDF of this Article]

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