Surgical anatomy and embryology of the frontal sinus

Carlos S. Duque, Roy R Casiano

Research output: Chapter in Book/Report/Conference proceedingChapter

18 Citations (Scopus)

Abstract

As with any surgical procedure, a thorough knowledge of anatomy is the one most important factors in minimizing complications and maximizing one's chances of a good surgical outcome. This is particularly important for otolaryngologists performing endoscopic sinus surgery, as each and every one of the paranasal sinuses are in close proximity to critical orbital and skull base structures. A good knowledge of anatomy will enable the surgeon to operate with more confidence, by improving one's ability to correctly interpret normal variants from abnormal or pathological conditions, and determine an appropriate surgical treatment plan to reestablish mucociliary flow to the sinus. This is even more critical for distorted anatomy, due to previous surgery or neoplasms. Furthermore, CT imaging has become an integral part of the diagnostic armamentarium for sinus surgeons. Technological advancements such as intraoperative navigational devices depend on the surgeon's proper identification of normal or abnormal structures on CT or MRI scans.However, despite this technology's intent of reducing complications, failure to know the sinus anatomy or properly identify critical structures on the scan may still result in disastrous consequences. The frontal sinus hides in the anterior cranial vault surrounded by two thick layers of cortical bone. Its naturally draining "ostium", or frontal infundibulum, remains immersed in an intricate complex area covered by ethmoid cells and other anatomical structures that may not be so easy to find. In order to better understand frontal sinus anatomy, one must begin with its embryological development.

Original languageEnglish
Title of host publicationThe Frontal Sinus
PublisherSpringer Berlin Heidelberg
Pages21-31
Number of pages11
ISBN (Print)3540211438, 9783540211433
DOIs
StatePublished - Dec 1 2005

Fingerprint

Frontal Sinus
Embryology
Anatomy
Paranasal Sinuses
Skull Base
Pituitary Gland
Magnetic Resonance Imaging
Technology
Equipment and Supplies
Surgeons
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Duque, C. S., & Casiano, R. R. (2005). Surgical anatomy and embryology of the frontal sinus. In The Frontal Sinus (pp. 21-31). Springer Berlin Heidelberg. https://doi.org/10.1007/3-540-27607-6_3

Surgical anatomy and embryology of the frontal sinus. / Duque, Carlos S.; Casiano, Roy R.

The Frontal Sinus. Springer Berlin Heidelberg, 2005. p. 21-31.

Research output: Chapter in Book/Report/Conference proceedingChapter

Duque, CS & Casiano, RR 2005, Surgical anatomy and embryology of the frontal sinus. in The Frontal Sinus. Springer Berlin Heidelberg, pp. 21-31. https://doi.org/10.1007/3-540-27607-6_3
Duque CS, Casiano RR. Surgical anatomy and embryology of the frontal sinus. In The Frontal Sinus. Springer Berlin Heidelberg. 2005. p. 21-31 https://doi.org/10.1007/3-540-27607-6_3
Duque, Carlos S. ; Casiano, Roy R. / Surgical anatomy and embryology of the frontal sinus. The Frontal Sinus. Springer Berlin Heidelberg, 2005. pp. 21-31
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