Frontal sinus malignancies

Otolaryngol Clin North Am. 2001 Feb;34(1):269-81. doi: 10.1016/s0030-6665(05)70311-x.


Frontal sinus malignancies comprise 2% to 3% of those occurring in the paranasal region. Patients commonly present with forehead pain and swelling, orbital disturbances, epistaxis, and nasal purulence. A combination of CT and MR imaging delineate the tumor and its relationship with the adjacent dura and periorbita. Low-grade malignancies are addressed with en bloc extirpation, with lower frontal sinus and adjacent ethmoid lesions approached through a superior rhinotomy, and more extensive lesions through a combination of a bicoronal flap and rhinotomy. Postoperative irradiation is appropriate for medium- to high-grade lesions. Small to medium defects are closed with local rotation flaps and larger defects with free flaps. Bony reconstruction can range from a split calvarial bone graft to mini plates and wire mesh.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy
  • Frontal Sinus / diagnostic imaging*
  • Frontal Sinus / pathology*
  • Frontal Sinus / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Neoplasm Staging
  • Otorhinolaryngologic Surgical Procedures / methods
  • Paranasal Sinus Neoplasms / diagnosis*
  • Paranasal Sinus Neoplasms / therapy
  • Tomography, X-Ray Computed