Combined Lid Crease and Endoscopic Approach to Lateral Frontal Sinus Disease With Orbital Extension

Chadi A. Makary, Alex Limjuco, John Nguyen, Hassan H. Ramadan

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction: Functional endoscopic sinus surgery for frontal sinus disease has obviated the need for external approaches. Special circumstances such as acute infection with orbital involvement or significant lateral sinus disease frequently require adjunct access. We describe the clinical outcomes of a combined upper eyelid crease and endoscopic approach for lateral frontal sinus disease with orbital extension. Methods: A retrospective case series of 7 patients who underwent a combined lid crease approach for frontal sinus disease with orbital extension between April 2012 and October 2016 was performed. All patients had the presence of lateral frontal sinus disease as well as orbital extension as seen on a preoperative computed tomography (CT) scan. Patient demographics, indications for surgery, and perioperative findings were examined. Results: Six of the 7 patients were male. Mean age was 61 years, and the indication for surgery was primarily drainage of mucopyocele and inverting papilloma (IP) in 1 patient. The frontal sinus and orbit were successfully accessed, and the respective pathology was addressed in both locations. No intraoperative or postoperative complications were encountered. There was no postoperative or cosmetic complications. Conclusion: The combined lid crease and endoscopic approach is a safe and effective technique for accessing the lateral frontal sinus and orbit.

Original languageEnglish (US)
Pages (from-to)637-642
Number of pages6
JournalAnnals of Otology, Rhinology and Laryngology
Issue number9
StatePublished - Sep 1 2018


  • combined approach
  • frontal sinus
  • mucopyocele
  • upper eyelid

ASJC Scopus subject areas

  • Otorhinolaryngology


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