Frontal sinus cranialization using pericranial flap: Experience in thirty cases

Abstract

Introduction: Cranialization of the frontal sinuses has become a widely accepted treatment choice for the most challenging types of frontal sinus fractures, complicated mucoceles and mucopyoceles, severe frontal sinusitis with osteomyelitis, and others. We conducted a review of thirty cases who underwent cranialization using pericranial flaps. Materials and Methods: A total of thirty cases were reviewed done between January 2015 and June 2019. Results: The most frequent indication in our review was frontal sinus fracture in twenty cases (66.6%), six (20%) cases of frontal sinus mucoceles, and four (13.3%) cases of fontal sinus infection with intracranial extension. Conclusion: The use of a pedicled vascularized pericranial flap as an extra layer and autologous fence above the dura adds more protection to the brain. More prospective and randomized trials are recommended.