The osteoplastic flap provides access to the pathology of the frontal sinus and is often performed with obliteration, resulting in significant long-term complications. Frontal sinus surgery can be achieved with more efficiency with the help of the Osteoplastic flap without Obliteration. It is essential to understand it better to increase efficiency and decrease the frontal sinus surgery duration. 

Researchers conducted this study to describe the authors’ approach to osteoplastic flap without obliteration.

The research method used was a descriptive analysis. The Osteoplastic flap remains the most widely used external procedure for gaining access to the frontal sinus. The incision is made from a point anterior to the ear near the helix’s attachment in a coronal fashion posterior to the opposite ear’s hair margin.

Osteoplastic flap without obliteration preserves frontal sinus function while permitting direct access to the frontal sinus. This study demonstrates a combined non obliterated approach, accessing the frontal sinus with a Draf III approach to remove a sizable frontal sinus osteoma.

The approach provides excellent exposure for large tumors not otherwise accessible via purely endoscopic procedures, permits improved surveillance, and minimizes long-term complications of obliterated sinuses. Further studies are required to explore the Osteoplastic flap without Obliteration and the methodology of performing it.