Frontal Sinus Trephination

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations


Modern trephination of the frontal sinus was first described in 1884 by Ogston and Luc. This technique did not gain popularity due to the high failure rate from persistent frontal recess stenosis. In the past 40 years, with progression of endoscopic sinus surgery combined with our understanding of the importance of mucosal preservation, there has been a shift away from external approaches in the management of inflammatory sinus disease. The access a frontal sinus trephine provides enhances our present endoscopic techniques. It provides the surgeon with an additional port for dissection; a means of rapid decompression of the frontal sinus via an intersinus septectomy; or tumor resection that cannot be completely addressed through an endoscopic approach. There are multiple incisions that can be used when performing a trephine, and the type of incision choice depends on patient anatomy and surgeon choice. Indications for a frontal trephine include acute frontal sinusitis with extrasinus spread, frontal sinus osteomyelitisis, laterally based frontal sinus lesions, resection of benign fibro-osseous tumors, soft tissue tumors, and resection of frontal cells that are inaccessible through an endoscopic approach. Sinus surgeons should understand the relevant anatomy associated with the procedure including the potential complications. Despite the endoscopic advancements in the field, the frontal trephination is an essential part of a sinus surgeon’s armamentarium.

Original languageEnglish
Title of host publicationAtlas of Endoscopic Sinus and Skull Base Surgery, Second Edition
ISBN (Electronic)9780323476645
ISBN (Print)9780323553452
StatePublished - 1 Jan 2018


  • external approach
  • frontal sinus
  • sinus surgery
  • skull base
  • trephine


Dive into the research topics of 'Frontal Sinus Trephination'. Together they form a unique fingerprint.

Cite this