Delayed endoscopic reconstruction of the anterior wall of the frontal sinus: Technical note

Introduction. Reconstruction of the anterior wall of the frontal sinus usually requires a coronal incision. This extended approach may lead to paresthesia, unsightly scars, bruises and cicatricial alopecia. These complications encouraged several authors to endoscopic management of this kind of fractures. We present a delayed technique of reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling. Technical note. Two incisions were performed behind the hair line. Subperiosteal dissection using a periosteal elevator was performed. A 30 degrees angled endoscope was used to visualize the depression. The latter was filled by Hydroset (R) (Stryker, USA) as a bone substitute. Discussion. In the absence of contra-indication, the reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling has many advantages including uneventful outcome, reduction of the hospital stay and a fast learning curve. (C) 2015 Elsevier Masson SAS. All rights reserved.