Background: Frontal sinus obliteration
is indicated in trauma and frontal sinus
disease. We present our experience with a modified technique of frontal sinus obliteration
We reviewed the records of 17 patients who underwent frontal sinus obliteration
with a combination of Tisseel fibrin glue (Baxter Healthcare Corporation, Deerfield, IL) and calvarial bone
and describe our technique.
One female and 16 male patients (mean age, 36.6) underwent frontal sinus obliteration
from 2001 to 2005. Traumatic fracture was the most common indication. The patients were followed up for a median of 15 months. There were no major complications. Postoperatively, one patient developed a localized frontal wound infection at 3 weeks; this resolved with debridement. At latest follow-up, all were free from local sinus complications, disease recurrence, headaches, or intracranial events.
The combined use of autogenous calvarial bone
and Tisseel is suitable for frontal sinus obliteration
. Our technique is associated with low donor site morbidity, avoids a separate donor surgical site, and has a low complication rate.