Resección del tabique intersinusal frontal para el manejo de sinusitis frontal crónica unilateral

La sinusitis frontal cronica es un problema complejo, de dificil manejo quirurgico debido a la anatomia del seno frontal y el alto indice de recidiva posquirurgica. La reseccion del tabique intersinusal ha sido descrita escasamente en la literatura, pero es una tecnica sencilla que aprovecha el drenaje del seno contralateral sano, evitando intervenir directamente el ostium comprometido, en especial en casos de estenosis u obliteracion que probablemente se reproduciran despues de permeabilizarlos mediante otras tecnicas. En este articulo describimos un caso clinico, la tecnica quirurgica utilizada y sus resultados en una paciente con multiples cirugias de senos paranasales previas, tanto por via endoscopica como abiertas, con buen resultado posoperatorio. Ademas realizamos una revision de la literatura pertinente. Chronic frontal sinusitis is a complex issue and its surgical management is difficult due to the anatomy of the frontal sinus and the high rate of recurrence after surgery. Resection of the intersinus septum has been scarcely described in the literature, but is a simple technique that takes advantage of the drainage of the healthy contralateral sinus, avoiding the direct intervention of the compromised ostium, especially in cases of stenosis or obliteration that would probably reproduce after permeabilization by other techniques. In this article we present a case report, the surgical technique that was chosen and the results in a patient with multiple previous sinus surgeries, both open and endoscopic, with a good postoperative outcome. Also, we provide a review of the relevant literature.