Abstract
EDITOR'S NOTE: The best surgical approaches for the treatment of chronic inflammatory frontal sinus disease have been hot ly d e b a t e d ove r the las t 100 years. The pendulum has been swinging back and forth between i n t r anasa l and e x t e r n a l approaches. This Di f f icul t Decisions article is dedicated to this topic. Four cases have been presented to two authorities in this field, Dr. Jonas Johnson and Dr. Steven Schaefer. The following issues are discussed: radiologic findings; pathophysiology; medical and surgical treatment; advantages and disadvantages of techniques; complications; and followup. Representative CT images are presented; however, not all the images provided to the authors are i nc l uded . We hope the reader will f ind the discussion stimulating and educational. Note: The following abbreviations are used in the illustrations accompanying the CT scans: FS, frontal sinus; C, crista galli; MT, middle turbinate; NS, nasal sinus; MS, maxillary sinus; LP, lamina papyracea; IT, inferior turbinate.
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