Objective:The aim of this study is to investigate the causes and the strategy of
frontal sinusitis after transfrontal
craniotomy by endoscopic frontal sinus surgery and traditional surgery with facial incision. Method:A total of thirty-four patients with
frontal sinusitis after transfrontal
craniotomy were admitted, with the symptom of purulence stuff,
headache and upper eyelid discharging. The onset time was 2.6 years on average. The frontal sinus CT and MRI images showed
frontal sinusitis. Twenty-seven patients were treated with endoscopic frontal sinus surgery, and seven patient was treated with combined endoscopic and traditional frontal sinus surgery. In the
revision surgery, the
bone wax and inflammatory granulation tissue were cleaned out in both operational methods. The cure standard was that the postoperative frontal sinus
inflammation disappeared and the drainage of the volume recess was unobstructed. Result:Thirty-four patients had a history of transfrontal
craniotomy, and there was a record of
bone wax packing in every operation. Among twenty-seven patients with endoscopic frontal sinus surgery, Twenty-five cases cured and two cases were operated twice. Seven patients were cured with combined endoscopic and traditional frontal sinus surgery. Conclusion:The
frontal sinusitis after transfrontal
craniotomy may be related to the inadequate sinus management, especially
bone wax to be addressed to the frontal sinus ramming leading to frontal sinus mucosa secretion obstruction and poor drainage. Endoscopic frontal sinus surgery is a way of
minimally invasive surgery. The satisfying curative effect can be obtained by endoscopic removal of
bone wax, inflammatory granulation tissue, and the enlargement of frontal sinus aperture after exposure to the frontal sinus, and some cases was treated with both operation method.