This study’s objective was to review the clinical outcome of endoscopic frontal trephination and osteoplastic flap in patients with frontal sinus disease after bifrontal craniotomy. The doctors and researchers also studied patients’ clinical data with frontal sinus disease after bifrontal craniotomy between 2008 and 2018. The doctors have taken every situation into consideration.
Twenty-two patients underwent trephination, and 15 patients had an osteoplastic flap. The mean operation time was 101.5 min for an osteoplastic flap, statistically shorter than that of the trephination (p < 0.05). The blood loss during the trephination was significantly lower than that of the osteoplastic flap (mean, 29.6 ± 11.5 versus 96.3 ± 46.8 ml; p < 0.01). The postoperative hospital stay was 2.2 ± 0.7 days for patients of the trephination and 3.7 ± 1.6 days for patients of the osteoplastic flap, and this difference was statistically significant (p < 0.01). There were no complications and recurrence in all 37 patients. Both endoscopic frontal trephination and the osteoplastic flap are safe and highly effective in frontal sinus disease patients after bifrontal craniotomy. However, trephination can cause lower blood loss and require a shorter postoperative stay while it takes a shorter time to complete the osteoplastic flap.
Ref: https://www.tandfonline.com/doi/full/10.1080/02688697.2020.1759781
