Clinically relevant frontal sinus anatomy and physiology

Management of frontal sinus disease has evolved considerably with the adven t of endoscopic paranasal sinus instrumentation. With this evolution has co me the increased demand for anatomic competence among otolaryngologists. Ar med with a better understanding of the complex frontal sinus and anterior e thmoid complex anatomy, the otolaryngologist can target the anatomic abnorm alities that predispose an individual to frontal sinus disease and limit th e effectiveness of medical and surgical management.