We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Clinical Challenges in Otolaryngology |

Frontal Sinus Obliteration Is Rarely Indicated

Donald C. Lanza, MD
Arch Otolaryngol Head Neck Surg. 2005;131(6):531-532. doi:10.1001/archotol.131.6.531.
Text Size: A A A
Published online


Sillers has done an excellent job of summarizing the critical issues for and against frontal sinus obliteration. His account is an accurate and nonbiased review of the pertinent data, and I concur with him that the strength of the indications for frontal sinus obliteration continues to wane.

Donald C. Lanza, MD

In general, 5 premises establish the best paradigm for the surgical management of frontal sinus disease: (1) Restoring frontal sinus function is preferred to ablation or obliteration. (2) Minimally invasive techniques are typically associated with less lost work time for the patient. (3) Ability to postoperatively monitor residual or recurrent disease is greatest (endoscopically or via imaging) when frontal sinus function is restored. (4) The need for postoperative endoscopic wound care can be more labor intensive when function is restored. (5) In experienced hands, complication rates with ablation procedures are comparable to or even higher than those associated with minimally invasive techniques.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Donald C. Lanza, MD

Graphic Jump Location
Place holder to copy figure label and caption

Coronal computed tomographic image demonstrating the potential for complex pnuematization patterns of the frontal bone. This pnuematization could preclude adequate mucosal stripping for frontal sinus obliteration.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

6 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles