Kuhn T1, T2 and T3 cells were found in 5, 2 and 3 frontal recesses respectively; 1 case had a massive Agger nasi cell that pnematized up to frontal sinus; revised surgery was performed in 1 patients that had had frontal sinus surgery twice previously. Conclusions: the axillary flap approach to the frontal recess provide excellent access to frontal recess and allow clearance of cells in the recess, especially the Kuhn T3 cell.