TFS can be performed for unilateral frontal sinusitis drainage or access to the lateral extent of the contralateral frontal sinus. This procedure has demonstrated its usefulness in several problematic situations for the endoscopic surgeon.

The researchers did this study to evaluate TFS’s feasibility and define outcomes, early and late complications, contraindications, and TFS failure rates.

We reviewed patient demographics, including age and gender, indication for frontal septectomy, prior surgeries, failure rates, the necessity of revision surgery, early and late complications, and the approach’s side. Twenty patients who had undergone TFS were included. Researchers classified the patients into two groups according to the surgical indication.

TFS was performed on all patients in Groups 1 and 2. No patients had a recurrence of the pathology six months after surgery. No patient needed revision surgery. One complication was reported six months after surgery. The mean SCAR-Q score was 99.3 ± 2.5.

The study concluded that TFS was feasible for all patients in this study. This procedure permits the drainage of the frontal sinus and gives access to the lateral extent of the contralateral frontal sinus, without visible scarring and few lasting complications.

Reference: https://journals.sagepub.com/doi/full/10.1177/1945892419899351

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