临床上常用骨瓣治疗慢性额窦疾病,但所有现代书刊介绍的都是蒂在下的骨瓣技术。作者自1977年以来,应用蒂在上方的骨瓣治疗8例病人,在疗效和美容方面都取得了良好效果。本文详细介绍了手术步骤和此种术式的优点,并附两例病案报道。手术步骤如下:由内眦到眼眶外侧做一弧形切口,切开骨膜,用锐钻由内向外将窦底全部打开,并将皮肤、皮下组织与骨膜分离,用Stryker氏锯或骨切开器分别在额窦内侧及外侧做两个平行的纵切口, Bone flap commonly used in clinical treatment of chronic frontal sinus disease, but all modern books are introduced under the pedicle flap technology. Since 1977, the author applied the bone flap pedicle to the top to treat 8 patients and achieved good results both in curative effect and cosmetology. This article details the surgical procedures and the advantages of this technique, with two cases reported. Surgical procedures are as follows: from the inflorescence to the lateral orbital to make a curved incision, cut the periosteum, with a sharp drill from the inside out sinus floor will be fully open, and the skin, subcutaneous tissue and periosteum, with Stryker’s saw or bone incision Devices were made in the frontal medial and lateral parallel to the two longitudinal incision,