The first frontal sinus surgery was described in 1750 by Runge, who performed an obliteration procedure. An external and intracranial drainage procedure for a frontal sinus mucocele was described in 1870, and in 1884, the era of trephination was born (Ogston-Luc procedure), but abandoned due to the high rate of nasofrontal duct stenosis and surgical failure. Radical ablation procedures with removal of the anterior table and mucosal stripping were introduced in 1895, but because of the significant cosmetic deformity and high failure rates, conservative procedures became de rigeur from 1905 onward.
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