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Indications for the osteoplastic flap in the endoscopic era

Lee, John Ma,*; Palmer, James Nb,*

Current Opinion in Otolaryngology & Head and Neck Surgery: February 2011 - Volume 19 - Issue 1 - p 11–15
doi: 10.1097/MOO.0b013e3283419453
Nose and paranasal sinuses: Edited by Anshul Sama

Purpose of review To review and highlight recent articles on the osteoplastic flap over the last 12 months.

Recent findings Although advances in endoscopic sinus surgery have permitted rhinologists to manage a wide range of frontal sinus disease, recent retrospective studies have examined specific indications for the osteoplastic flap in this endoscopic era. Whether it will be inflammatory, anatomical or sinonasal tumor considerations, the osteoplastic flap remains an important surgical technique when endoscopic approaches are limited.

Summary The osteoplastic flap will remain an important tool in the armamentarium of the endoscopic surgeon to provide comprehensive management of the frontal sinus.

aDepartment of Otolaryngology-Head and Neck Surgery, University of Toronto, St Michael's Hospital, Toronto, Ontario, Canada

bDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA

*John M. Lee and James N. Palmer contributed equally to the writing of this article.

Correspondence to John M. Lee, MD, FRCSC, Department of Otolaryngology-Head & Neck Surgery, University of Toronto, St Michael's Hospital, 30 Bond Street, 8C-118, Toronto, ON M5B 1W8, Canada Tel: +1 416 864 5306; fax: +1 416 864 5469; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.