Sinocutaneous fistula secondary to chronic frontal rhinosinusitis: case series and literature review. Ann Otol Rhinol Laryngol 2008 Oct;117(10):759-63
Date
11/13/2008Pubmed ID
18998505DOI
10.1177/000348940811701010Scopus ID
2-s2.0-54249126391 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
OBJECTIVES: The purpose of this study was to describe the clinical features of a series of patients in whom sinocutaneous fistula developed in the setting of chronic frontal sinusitis.
METHODS: We performed a retrospective case review of patients with sinocutaneous fistula. Clinical records, imaging, and operative reports were carefully examined. A complete literature review for relevant studies was performed to examine similar cases and possible pathophysiology.
RESULTS: Three patients with sinocutaneous fistula secondary to frontal sinusitis were identified. All patients underwent successful endoscopic sinus surgery with computer-assisted stereotactic localization and closure of the fistula.
CONCLUSIONS: Development of sinocutaneous fistula secondary to frontal sinusitis is rare, but still occurs in the modern antibiotic era. Definitive management of this disease process requires 1) a frontal sinusotomy ensuring patency of the outflow tract and 2) fistula excision and multilayer closure.
Author List
Wu VF, Smith TL, Poetker DMAuthor
David M. Poetker MD Chief, Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Chronic DiseaseCutaneous Fistula
Diagnosis, Differential
Endoscopy
Female
Follow-Up Studies
Frontal Sinus
Frontal Sinusitis
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Otorhinolaryngologic Surgical Procedures
Retrospective Studies
Rhinitis
Tomography, X-Ray Computed
