Indications for the osteoplastic flap in the endoscopic era.

PURPOSE OF REVIEW: To review and highlight recent articles on the osteoplastic flap over the last 12 months.

RECENT FINDINGS: Although advances in endoscopic sinus surgery have permitted rhinologists to manage a wide range of frontal sinus disease, recent retrospective studies have examined specific indications for the osteoplastic flap in this endoscopic era. Whether it will be inflammatory, anatomical or sinonasal tumor considerations, the osteoplastic flap remains an important surgical technique when endoscopic approaches are limited.

SUMMARY: The osteoplastic flap will remain an important tool in the armamentarium of the endoscopic surgeon to provide comprehensive management of the frontal sinus.