The Relationship Between the Frontal Anterior Buttress and the Frontoethmoidal Angle in 2-Dimensional Assessment and Its Impact on Endoscopic Frontal Sinus Surgery Outcomes

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This study investigates the 2D relationship between the anterior frontal buttress and the frontoethmoidal angle, focusing on their influence on endoscopic frontal sinus surgery outcomes.
Retrospective analysis of 35 adult patients undergoing endoscopic frontal sinus surgery from 2021 to 2024.
Measurements were taken from preoperative high-resolution CT scans, including angles and frontal recess diameter.
Statistical correlations between anatomical measurements and surgical outcomes were analyzed.
Complication rate observed was 22.9% (n=8).
Patients with complications exhibited larger bilateral frontal apex-related angles and narrower bilateral frontal recess diameters (all p < 0.05).
Frontal apex-related angles showed no significant difference by sex (all p > 0.05).

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Retrospective analysis examines anatomical relationships impacting complications during surgery, indicating implications for surgical planning.

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Şimşek et al. (2026) studied this question.

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