{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:00:30Z","timestamp":1781254830693,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Frontal mucocutaneous fistula is a rare complication of chronic frontal sinus disease and may remain unrecognized because of its slow, insidious progression. This case report presents the clinical course, diagnostic process, and surgical management of this uncommon condition. A 56\u2010year\u2010old Ethiopian woman presented with a 5\u2010year history of frontal swelling, nasal obstruction, and headache. Following cautery by a traditional healer, she developed a persistent draining sinus over the right frontal region. Examination revealed a mucocutaneous fistula discharging seropurulent fluid, while laboratory studies and nasal endoscopy were unremarkable. Computed tomography (CT) demonstrated frontal sinus opacification with bony erosion consistent with a frontal mucocele complicated by fistula formation. The patient underwent external osteoplastic frontal sinusotomy with complete mucosal excision and sinus obliteration using an autologous abdominal fat graft. Postoperative recovery was uneventful, with immediate cessation of fistula drainage and complete symptom resolution. At 1\u2010week follow\u2010up, the incision had healed well with no complications. This case emphasizes the need for high clinical suspicion when evaluating chronic frontal swelling, the essential role of CT imaging in detecting sinus pathology and bony defects, and the effectiveness of surgical obliteration in achieving durable cure and preventing potentially serious intracranial sequelae.<\/jats:p>","DOI":"10.1002\/ccr3.72515","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T04:45:59Z","timestamp":1776055559000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent Forehead Sinus After Traditional Cautery: Frontal Mucocele Complicated by a Fronto\u2010Mucocutaneous Fistula"],"prefix":"10.1002","volume":"14","author":[{"given":"Alemayehu E.","family":"Chekol","sequence":"first","affiliation":[{"name":"St. Paul's Hospital Millennium Medical College\u2010SPHMMC  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8087-1806","authenticated-orcid":false,"given":"Hable D.","family":"Yigzaw","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiwot Y.","family":"Anley","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0061-6458","authenticated-orcid":false,"given":"Chernet T.","family":"Mengistie","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawit 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