The mini osteoplastic flap for eroded anterior table: case report

<p class="abstract">Trans-nasal Endoscopic access to the frontal sinus is in vogue now a days with advancements imaging modalities and availability of angled instrumentation. The external osteoplastic flap approach to the frontal sinus is still applicable in failed endoscopic procedures, laterally placed pathologies or eroded anterior or posterior tables. We discuss an intriguing patient with chronic dull ache over the forehead being treated with a mini osteoplastic flap technique. There is no single approach that has been able to fulfil the criteria for the modality of choice in terms of excellent results, no recurrence or residual disease, minimal morbidity, short hospital stays, uneventful long-term postoperative course, and good cosmesis in cases of extensive disease involvement. The main objective of this study was to study the outcome of external frontal sinus osteoplastic flap approach in terms of intraoperative disease clearance for extensive frontal sinus lesions beyond the scope of endoscopic excision.  </p>