A novel approach to frontal sinus surgery: Treatment algorithm revisited

Peter Niclas Broer, Steven M. Levine, Neil Tanna, Katie E. Weichman, Gabriel Hershman, Steven J. Caldroney, Robert J. Allen, David L. Hirsch, Pierre B. Saadeh, Jamie P. Levine

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


BACKGROUND: Access to the frontal sinus remains a challenging problem for the craniofacial surgeon. A wide array of techniques including minimally invasive endoscopic approaches have been described. Here we present our technique using medical modeling to gain fast and safe access for multiple indications. METHODS: Computer-aided surgery involves several distinct phases: planning, modeling, surgery, and evaluation. Computer-aided, precise cutting guides are designed preoperatively and allowed to perfectly outline and then cut the anterior table of the frontal sinus at its junction to the surrounding frontal bone. The outcomes are evaluated by postoperative three-dimensional computed tomography scan. RESULTS: Eight patients sustaining frontal sinus fractures were treated with the aid of medical modeling. Three patients (37.5%) had isolated anterior table fractures, and 4 (50%) had combined anterior and posterior table fractures, whereas 1 patient (12.5%) sustained isolated posterior table fractures. Operative times were significantly shorter using the cutting guides, and fracture reduction was more precise. There was no statistically significant difference in complication rates or overall patient satisfaction. CONCLUSIONS: The surgical approach to the frontal sinus can be made more efficient, safe, and precise when using computer-aided medical modeling to create customized cutting guides.

Original languageEnglish (US)
Pages (from-to)992-995
Number of pages4
JournalJournal of Craniofacial Surgery
Issue number3
StatePublished - May 2013
Externally publishedYes


  • CT
  • Computer-aided medical modeling
  • Frontal sinus surgery

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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