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Transfistula endoscopic closure of frontocutaneous fistula: A novel approach

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January 1, 2009
by Perumal Gounder Chokkalingam, BSc, FRCS, Ravi Sachidananda, MS, MRCS, Sanjay Verma, MRCS, PhD, Arcot Maheshwar, FRCS, FRCS (ORL-HNS), and Robert Duncan Roderick, McRae, FRCS, FRCS (ORL-HNS)


A fistula of the anterior table of the frontal sinus is an uncommon complication of acute frontal sinus abscess. Various methods to close a frontocutaneous fistula have been described. We present the second reported transfistula endoscopically assisted primary closure of a frontocutaneous fistula, which eliminated the need for major surgical intervention. We also review the etiology, pathogenesis, diagnosis, and management of frontocutaneous fistula.

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