Cranialization of the frontal sinus—the final remedy for refractory chronic frontal sinusitis

Dijk, J. Marc C. van; Wagemakers, Michiel; Korsten‐Meijer, Astrid G. W.; Buiter, C. T. Kees; Laan, Bernard F. A. M. van der; Mooij, J.J.A.

doi:10.3171/2011.11.jns101849

Cited by 11 publications

(4 citation statements)

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“…In our series, post-operative adverse events were experienced by 3 patients (3/21, 14%) after ablative time and by 4 patients (4/16, 25%) after reconstruction time, but only 1 major event occurred in the end (1/21, 5%), a CSF leakage. There were no damages to cerebral parenchyma or local extensive infections, as described by Van Dijk et al during a similar surgical procedure (cranialization), which resulted in a total of 5 major or minor complications out of 17 cases (33%) (22) .…”

Section: Discussionsupporting

confidence: 53%

Frontal sinus ablation (Riedel-Mosher's procedure): indications and role in the endonasal endoscopic era

Pietrobon¹,

Bignami²,

Preti³

et al. 2019

Rhin

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Background:The aim of this article is to describe the Riedel-Mosher's surgical technique and identify its current role in the endoscopic endonasal era based on the experience of a tertiary care medical centre. It also provides a brief excursus on materials available for frontal reconstruction.Methods: A retrospective review of patients submitted to Riedel-Mosher's procedure from 2005 to 2018 at a single tertiary care centre was carried out. Details of the surgical technique along with data on frontal reconstruction timing and materials used were collected.Results: A total of 21 patients (16 males and 5 females) underwent the Riedel-Mosher's procedure. The age of the patients ranged from 15 to 84 years. The underlying pathology was represented mainly by chronic osteitis of the frontal bone (17 cases), followed by benign tumours (3 cases) and malignancy (1 case). Perioperative complications occurred in 3 patients. Cranioplasty was carried out only on 16 cases and delayed by an average time of 10 months. Materials for reconstruction included titanium, ceramic, plastic and free flap .Conclusions: Nowadays, Riedel-Mosher's procedure is still indicated in selected cases of benign and malignant pathologies of the frontal sinus and/or frontal bone. Surgical expertise is key to approach the frontal sinus safely. Its reconstruction requires proper planning and a wide variety of materials to perform it is now available.

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Section: Discussionsupporting

confidence: 53%

Frontal sinus ablation (Riedel-Mosher's procedure): indications and role in the endonasal endoscopic era

Pietrobon¹,

Bignami²,

Preti³

et al. 2019

Rhin

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“…[30]–[35] Similar results were described in a recently published paper that covered a mean follow-up of 6.5 years after frontal sinus cranialization that was indicated in cases of long-standing frontal sinusitis failing other remedies (n = 15). [36] …”

Section: Resultsmentioning

confidence: 99%

Cranialization of the Frontal Sinus for Secondary Mucocele Prevention following Open Surgery for Benign Frontal Lesions

et al. 2013

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ObjectiveTo compare frontal sinus cranialization to obliteration for future prevention of secondary mucocele formation following open surgery for benign lesions of the frontal sinus.Study DesignRetrospective case series.SettingTertiary academic medical center.PatientsSixty-nine patients operated for benign frontal sinus pathology between 1994 and 2011.InterventionsOpen excision of benign frontal sinus pathology followed by either frontal obliteration (n = 41, 59%) or frontal cranialization (n = 28, 41%).Main Outcome MeasuresThe prevalence of post-surgical complications and secondary mucocele formation were compiled.ResultsPathologies included osteoma (n = 34, 49%), mucocele (n = 27, 39%), fibrous dysplasia (n = 6, 9%), and encephalocele (n = 2, 3%). Complications included skin infections (n = 6), postoperative cutaneous fistula (n = 1), telecanthus (n = 4), diplopia (n = 3), nasal deformity (n = 2) and epiphora (n = 1). None of the patients suffered from postoperative CSF leak, meningitis or pneumocephalus. Six patients, all of whom had previously undergone frontal sinus obliteration, required revision surgery due to secondary mucocele formation. Statistical analysis using non-inferiority test reveal that cranialization of the frontal sinus is non-inferior to obliteration for preventing secondary mucocele formation (P<0.0001).ConclusionCranialization of the frontal sinus appears to be a good option for prevention of secondary mucocele development after open excision of benign frontal sinus lesions.

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“…[ 7 9 14 18 24 ] The presence of chronic sinusitis is not a contraindication because the mucosa is resected and the sinus is cranialized. [ 7 26 ] Obviously, a hyploplastic frontal sinus is a contraindication to this approach. In such a case or in the absence of the sinus, a frontal craniotomy is an option.…”

Section: Discussionmentioning

confidence: 99%

Transfrontal sinus approach for an anterior cranial fossa, ethmoidal, dural arteriovenous fistula

Magro¹,

Engel²,

Bojanowski³

2014

Surg Neurol Int

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Background:Ethmoidal dural arteriovenous fistulas (eDAVFs) are usually approached via a pterional or a frontal craniotomy. A more direct route to the fistula is possible through a purely transfrontal sinus approach. The aim of this report is to illustrate the interest of transsinus frontal approach for eDAVFs.Case Description:The transfrontal sinus approach is described and illustrated in a case of an ethmoidal arteriovenous fistula. This approach is the most direct when treating an eDAVF surgically, allowing preserving neural structures with minimal to no brain manipulation.Conclusion:For eDAVFs, the purely transfrontal sinus approach is highly worth considering in cases of large frontal sinuses.

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Cranialization of the frontal sinus—the final remedy for refractory chronic frontal sinusitis

Abstract: Cranialization of the frontal sinus deserves consideration as the final remedy for refractory chronic frontal sinusitis after definite failure of other options.

Cited by 11 publications

References 11 publications

Frontal sinus ablation (Riedel-Mosher's procedure): indications and role in the endonasal endoscopic era

Frontal sinus ablation (Riedel-Mosher's procedure): indications and role in the endonasal endoscopic era

Cranialization of the Frontal Sinus for Secondary Mucocele Prevention following Open Surgery for Benign Frontal Lesions

Transfrontal sinus approach for an anterior cranial fossa, ethmoidal, dural arteriovenous fistula

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