Osteoplastic flap with and without fat obliteration

      Open surgery for the frontal sinus is greatly diminishing with advances in endoscopic techniques and tools. However, open surgery is still indicated in several instances, recalcitrant frontal sinusitis in high risk patients, osteomas, and soft tissue tumors of the frontal sinus. The rate of complications is low. Mucocele formation and forehead paresthesia are the most common; each less than 10%. Osteoplastic flaps with and without fat obliteration may have limited indications, but it can be very useful in the right patient.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Correa A.J.
        • Duncavage J.A.
        • Fortune D.S.
        • Reinisch L.
        Osteoplastic flap for obliteration of the frontal sinus: five years' experience.
        Otolaryngol Head Neck Surg. 1999; 121: 731-735
        • Ulualp S.O.
        • Carlson T.K.
        • Toohill R.J.
        Osteoplastic flap versus modified endoscopic Lothrop procedure in patients with frontal sinus disease.
        Am J Rhinol. 2000; 14: 21-26
        • Anand V.K.
        • Hiltzik D.H.
        • Kacker A.
        • Honrado C.
        Osteoplastic flap for frontal sinus obliteration in the era of image guided endoscopic sinus surgery.
        Am J Rhinol. 2005; 19: 406-410
        • Weber R.
        • Draf W.
        • Keerl R.
        • et al.
        Osteoplastic frontal sinus surgery with fat obliteration: technique and long-term results using magnetic resonance imagin in 82 operations.
        Laryngoscope. 2000; 110: 1037-1044
        • Hwang P.H.
        • Jan J.K.
        • Bilatrom B.S.
        • et al.
        Surgical revision of the failed obliterated frontal sinus.
        Am J Rhinol. 2005; 19: 425-429
        • Langton-Hewer C.D.
        • Wormald P.J.
        Endoscopic sinus surgery rescue of failed osteoplastic flap with fat obliteration.
        Curr Opin Otolaryngol Head Neck Surg. 2005; 13: 45-49
        • Anderson P.
        • Sindwani R.
        Safety and efficacy of the endcoscopic modified Lothrop procedure: a systematic review and meta-analysis.
        Laryngoscope. 2009; 119: 1828-1833