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Split-rib reconstruction of the frontal sinus: two cases and literature review

Published online by Cambridge University Press:  06 October 2011

M B Soyka ,
M Guggenheim ,
A Arnoux  and
D Holzmann
M B Soyka*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, University Hospital Zurich, Switzerland
M Guggenheim
Affiliation:
Department of Plastic and Reconstructive Surgery, University Hospital Zurich, Switzerland
A Arnoux
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Kantonsspital Aarau, Switzerland
D Holzmann
Affiliation:
Department of Otolaryngology Head and Neck Surgery, University Hospital Zurich, Switzerland
*
Address for correspondence: Dr Michael B Soyka, Department of Otolaryngology Head and Neck Surgery, University Hospital Zurich, Frauenklinikstrasse 24, 8091 Zurich, Switzerland Fax: +41 44 255 45 56 E-mail: michael@soyka.ch
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Abstract

Background:

Large defects of the anterior wall of the frontal sinus require closure using either autologous or foreign material. In cases of osteomyelitis, the reconstruction must be resistant to bacterial infection. Split-rib osteoplasty can be used in different sites.

Methods:

Two patients with malignant sinonasal tumours underwent repeated treatment, and subsequently developed osteomyelitis of the frontal bone. After adequate therapy, a large defect of the anterior wall persisted. Reconstruction was performed using the split-rib method. The literature on this topic was reviewed.

Results:

Both patients' treatment were successful. No complications occurred. A PubMed search on the topic of rib reconstruction of the frontal sinus and skull was performed; 18 publications matched the inclusion criteria. From these sources, we noted that 182 reconstructions yielded good results with few complications.

Conclusion:

Large defects of the anterior wall of the frontal sinus can be closed successfully using autologous split-rib grafting. Aesthetic outcome is good and donor site morbidity is minimal.

Keywords

Frontal SinusOsteomyelitisRibsReconstructive Surgical Procedures
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 12 , December 2011 , pp. 1301 - 1308
Copyright
Copyright © JLO (1984) Limited 2011

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