613 frontal wig

613 frontal wig

The first 613 frontal wig sinus surgical procedure was first described in 1750. Despite more than 2 centuries since the description of the procedure on frontal sinus, the optimal procedure is still not clear. Sinus disease could be highly morbid with the danger of life-threatening complications, because of its anatomic proximity to anterior skull base and orbit.

"Surgical treatment of chronic 613 frontal wig sinusitis is difficult, often unsatisfactory and sometimes disastrous" Ellis 1954.

Aims of ideal treatment modality of this disease are:

Eradication of underlying disease process

Preservation of function of the sinus

To cause least morbidity and cosmetic deformity.

Historically the ideal surgical procedure has been 613 frontal wig flopping from External to intranasal. With the recent advancement in imaging techniques and nasal endoscopes, Endoscopic frontal sinus surgery is becoming really popular these days. Resolution and details provided by modern imaging modalities have gone a long way in reducing the potential surgical complications of endoscopic surgery.

History of surgical procedures involving this area can be divided into following era:

613 frontal wig sinus surgery was first described in 1750. It was in 1884 Alexander 613 frontal wig a trephination procedure where an opening was made in the anterior table of frontal sinus to evacuate the sinus cavity. He also dilated the 613 frontal wig and curetted its mucosa. He believed this procedure could facilitate better drainage from the frontal sinus. He advocated placement of drainage tube inside the 613 frontal wig to prevent stenosis.

It was about the same time Luc described a similar procedure. This procedure was aptly known as 613 frontal wigs. This procedure failed commonly because of increased incidence of nasofrontal duct stenosis.

Kuhnt in 1895 described a procedure wherein he removed the anterior wall of this sinus in an attempt to clear the 613 frontal wig of the diseased mucosa. He stripped the mucosa up to the 613 frontal wig and stented the frontonasal duct to improve the drainage. In 1898 Riedel performed obliteration of the sinus. He advocated complete removal of anterior table and floor of FS with stripping of mucosa. He performed this procedure in a patient with osteomyelitis of frontal bone. This procedure caused an unsightly deformity of skull. 613 frontal wig in 1903 advocated retention of 1 cm bar of supraorbital rim. 613 frontal wig was able to avoid deformity by retaining this bar of bone. Killian also advocated ethmoidectomy combined with rotation of mucosal flap to cover the frontal recess area. 613 frontal wig was fraught with complications like Restenosis, supraorbital rim necrosis, post op meningitis, mucocele formation etc.