[Minimally invasive surgery for treating of complicated fronto-ethmoidal sinusitis].

OBJECTIVES

Functional endoscopic sinus surgery (FESS) is nowadays the "gold standard" for frontal sinus pathologies, but management of acute situations and the aproach and/or the extent of the surgery perfomed in the frontal recess remains controversial nowadays.

MATERIAL AND

METHODS

We report our experience in 4 patients with orbital celulitis due to frontal sinusitis who underwent combined external surgery (mini-trephination) and endoscopic sinus surgery.

RESULTS

All patients managed sinus patency without any complications.

CONCLUSIONS

We found this combined sinusotomy as an easy, effective and reproductible technique in order to resolve the difficult surgical management of complicated frontal sinusitis.