Analysis of Therapeutic Efficacy of Endoscopic Transethmoidal Ethmoidectomy Combined With Endoscopic…

Cohort studyThe Journal of craniofacial surgery· Jul 2026

Analysis of Therapeutic Efficacy of Endoscopic Transethmoidal Ethmoidectomy Combined With Endoscopic Transnasal Frontal Sinusotomy in the Treatment of Refractory Frontal Sinusitis.

WenFeng Li, XiaoFei Bai, Dong Liang … Yong Wang

Otolaryngology (ENT)Cohort studyTreatmentQ3IF 1.1

Combined frontal sinus surgery for post-craniotomy frontal sinusitis showed only 5% recurrence.

Analysis of Therapeutic Efficacy of Endoscopic Transethmoidal Ethmoidectomy Combined With Endoscopic Transnasal Frontal Sinusotomy in the Treatment of Refractory Frontal Sinusitis.

WenFeng Li … Yong Wang

The Journal of craniofacial surgery · Jul 2026 · Q3 in Otorhinolaryngology

Purpose

To evaluate the clinical efficacy of a combined approach involving transfrontal sinus debridement and transnasal endoscopic frontal sinusotomy in the treatment of postcraniotomy frontal sinusitis.

Methods

A retrospective study was conducted on a cohort of 20 patients with postcraniotomy frontal sinusitis treated by the endoscopic surgery team at the Department of Neurosurgery, The First Affiliated Hospital of China Medical University, over a 5-year period.

n = 20 patients

Results

5%

patients whose frontal sinus infection came back after surgery, so most stayed infection-free

n = 20 patients

More results

This combined approach leverages the advantages of neurosurgical transfrontal sinus debridement and otolaryngological transnasal endoscopic frontal sinusotomy, augmented by strict postoperative nasal irrigation and regular outpatient nasal cleaning, thereby significantly reducing the recurrence rate.

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Conclusion

The combined approach of transfrontal sinus debridement and transnasal endoscopic frontal sinusotomy effectively mitigates the high recurrence rate of postcraniotomy frontal sinusitis.

Analysis of Therapeutic Efficacy of Endoscopic Transethmoidal Ethmoidectomy Combined With Endoscopic Transnasal Frontal Sinusotomy in the Treatment of Refractory Frontal Sinusitis.

Analysis of Therapeutic Efficacy of Endoscopic Transethmoidal Ethmoidectomy Combined With Endoscopic Transnasal Frontal Sinusotomy in the Treatment of Refractory Frontal Sinusitis.

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