Surgery for acute complicated sinusitis and chronic sinusitis with or without polyps is done mostly using endoscopic tools and techniques. However, on occasion, it is necessary to use external sinus approaches and techniques either in combination with endoscopic techniques or alone for particularly difficult patients, such as sinusitis with tumors, invasive fungal sinusitis, lateral frontal sinus disease, osteoma, periorbital abscess, etc. This issue and a subsequent journal issue will concentrate on summarizing all the external sinus surgery techniques and approaches the sinus surgeon would require to have a complete sinus surgery armamentarium. Many of these highlighted techniques are classic and were described by very skilled surgeons over many years and are still useful. The names of Montgomery, Lynch, Sewall, Boyden, Pearson, Caldwell and Luc are a few which immediately come to mind. Because these techniques and approaches are rarely taught in residency programs today, it is timely and educationally important that they are reintroduced and highlighted in Operative Techniques in Otolaryngology–Head and Neck Surgery as a surgical resource. Residents and practicing sinus surgeons can review these procedures for potential future consideration.
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