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May 29, 2012 by Dr Paulose Acute frontal sinusitis usually occurs in association with ethmoid or maxillary sinusitis. Antibiotics should be prescribed routinely because only 30-40% of patients with clinically suspected sinusitis have a bacterial infection, and over two thirds of patients experience improvement or resolution of symptoms with antibiotic treatment. A Surgery is indicated in resistant cases which includes frontal sinus trephening and endoscopic decompression.
Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. The front nasal duct is tortuous and easily obstructed by mucosal edema after a viral URTI.


Head ache showing classic periodicity (More during early morning hours and gets better as the day progresses). Signs and symptoms of meningitis include: High fever, photophobia, neck pain, neck stiffness, severe headache and altered mental status.
This is caused by direct extension of infection or by thrombophlebitis involving the diploic veins. Early diagnosis and management of acute frontal sinusitis will go a long way in preventing development of complications.
In patients with osteomyelitis of anterior table of frontal bone may lead to formation of subperiosteal abscess which present as swelling over the forehead.


Patients with cavernous sinus thrombosis present with ophthalmoplegia, proptosis, visual loss, trigeminal nerve deficits.



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