Primary endoscopic management of the frontal sinus

Surgical treatment of the frontal sinus continues to be an area of much int erest and controversy. The complex anatomy and confined space of this regio n require the endoscopic surgeon to be knowledgeable and delicate to obtain a positive result. proper instrumentation is crucial and continues to evol ve over time. Postoperative endoscopic care is integral to the success of e ndoscopic frontal sinusotomy and the availability of proper office equipmen t to perform this care is critical. In most instances, the intranasal endos copic approach can be accomplished successfully without the need for an ext ernal procedure.