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In the course of the many years which have elapsed since Schonborn and Brieger first suggested such an operation, much has happened to im prove our surgical techniques. We have the benefit of antibiotic con trol of infection and we also have electrically operated instruments which make it much easier to cut a neat bone flap and thus obtain a precise reapproximation.The purpose of this paper is to report our experiences with this procedure during the last five years at the Massachusetts Eye and Ear Infirmary, based on a "follow-up" study of our cases, some of whom have been previously presented in earlier articles. 12 14 Those of us who have been brought up in the technique of the transorbital approach to the frontal sinus have believed that in orderThe Scientific Papers of the American Laryngological Association at UNIV TORONTO on July 28, 2015 aor.sagepub.com Downloaded from

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