Osteoplastic Flap Without Obliteration: How I Do It. Issue 5 (September 2018)

• Record Type: Journal Article
• Authors: Banks, Catherine G.; Garcia, Jaime A. P.; Grayson, Jessica; Yeon Cho, Do; Woodworth, Bradford A.
• Is Part Of: American journal of rhinology & allergy. Volume 32:Issue 5(2018)
• Page Start: 346
• Page End: 349
• Publication Date: 2018-09
• Subjects: osteoplastic flap -- Draf 3 -- Draf III -- outside-in -- osteoplastic flap without obliteration -- osteoma; Nose -- Periodicals; Allergy -- Periodicals; 616.21005
• DOI: 10.1177/1945892418782222
• Languages: English
• ISSNs: 1945-8924

Abstract

Background: The osteoplastic flap provides access to pathology of the frontal sinus and is often performed with obliteration, which can result in significant long-term complications. Objective: To describe the authors' approach to osteoplastic flap without obliteration. Methods: Descriptive analysis. Results: Osteoplastic flap without obliteration preserves frontal sinus function while permitting direct access to the frontal sinus. In this study, we demonstrate a combined nonobliterated approach, accessing the frontal sinus with a Draf III approach to remove a large frontal sinus osteoma. Conclusion: The approach provides excellent exposure for large tumors not otherwise accessible via purely endoscopic procedures, permits improved surveillance, and minimizes long-term complications of obliterated sinuses.