Endoscopic closure of a frontocutaneous fistula

October 23, 2013
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A frontocutaneous fistula is a rare sequela of frontal sinus pathology. Management via an endoscopic approach is not frequently reported in the literature. We describe such an approach with the aid of still photography and imaging plus videoendoscopy, and we discuss the current literature.


Frontocutaneous fistulas are rare. In addition to a fistula, affected patients may present with local pain, pressure, headache, nasal congestion, swelling, vision disturbances, and/or neurologic complaints. Possible causes include the spread of a sinus infection to the frontal bone, the presence of a tumor, and/or trauma.

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