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Abstract
There is still controversy on the management of frontal sinus fractures, as the optimal method of treatment has not been developed yet. Based on experience with 71 patients we formed a protocol, the basic principles of which are outlined here. In cases of posterior wall fractures the sinus was either cranialised or it was obliterated down to the nasofrontal duct. Anterior table fractures were reduced, defects were reconstructed and the sinus was drained via the nose for 4–6 weeks. Autologous graft material was always used for all reconstructive purposes. Meningitis occurred directly after the operation in 2 patients and a mucopyocele of the sinus with osteomyelitis of the frontal bone 1.5 years postoperatively in another. No further early or long term sequelae originating from the sinus were seen.
References
- Trauma of the upper third of the face: management and follow-up.J Max-fac Surg. 1984; 12: 255-261
- Die frontobasale Scha¨delverletzung.Schweiz Med Wochenschr. 1960; 52: 1481-1486
- Die Beteiligung der Nasennebenho¨hlen bei frontobasalen Verletzungen.in: Schuchardt K Fortschr Kiefer Gesichtschir: Das frische Trauma im Kiefer-Gesichtsbereich. Thieme Verlag, Stuttgart1966: 93-106
- Traumatismes des sinus frontaux.Rev Stomatol Chir Maxillofac. 1990; 91: 14-22
- Frontobasale Verletzungen und Liquorfistel.in: Schuchardt K Fortschr Kiefer Gesichtschir: Das frische Trauma im Kiefer-Gesichtsbereich. Thieme Verlag, Stuttgart1966: 89-92
- Les fractures du sinus frontal: conduite the´rapeutique.Ann Otolaryngol. 1973; 90: 741-744
- Spa¨tscha¨den nach frontobasalen Frakturen und ihre gutachterliche Einscha¨tzung.Zentralbl Chir. 1978; 108: 1149-1154
- Unfallchirurgie der Scha¨delbasis und der benachbarten pneumatischen Ra¨ume.Munch Med Wochenschr. 1980; 122: 1499-1502
- Frontal sinus fractures: guidelines to management.Plast Reconstr Surg. 1987; 80: 500-508
- Totale Resektion der fazialen und orbitalen Stirnho¨hlenwand.in: Denker A Kahler O Handbuch der Hals-Nasen-Ohren Heilkunde. Springer Verlag, Berlin1926: 806-808
- Compound frontal sinus injuries with intracranial penetration.Laryngoscope. 1978; 88: 225-232
- Evaluation of frontal sinus fractures.Arch Otolaryngol. 1979; 105: 275-276
- Frontal sinus injuries: primary care and management of late complications.Plast Reconstr Surg. 1988; 82: 781-789
- Zur Problematik der verzo¨gerten Versorgung von Liquorfisteln nach frontobasalen Frakturen.Beitr Orthop Traum. 1980; 27: 90-94
- Secondary corrections following fractures of the upper third of the face.in: Abstracts, 9th International Conference on Oral and Maxillofacial Surgery, Vancouver. 1986: 21
- Nasofrontal duct in frontal sinus fractures.Arch Otolaryngol. 1970; 92: 534-538
- Spa¨tfolgen unzureichender Prima¨rversorgung im Bereich der Frontobasis.in: Schuchardt K Becker R Fortschr Kiefer-Gesichtschir: Periorbitale Chirurgie. Thieme Verlag, Stuttgart1977: 64-66
- Membranous vs endochondral bone autografts.Arch Otolaryngol. 1974; 99: 203-205
- Adipose tissue graft in otorhinology.Arch Otolaryngol. 1974; 100: 467-468
- Posterior table fractures of the frontal sinus: II clinical aspects.Laryngoscope. 1977; 87: 1740-1745
- Fracture of the frontal sinus in children.Arch Otolaryngol. 1977; 103: 241-244
- Anterior table frontal sinus fractures.Laryngoscope. 1979; 89: 1951-1955
- Experimental evaluation of a new implant material in frontal sinus obliteration. A preliminary report.Arch Otolaryngol. 1976; 102: 524-528
- Solitary frontal sinus fracture.Laryngoscope. 1979; 89: 1099-1104
- The use of methyl methacrylate cranioplasty in forehead reconstruction.Eur J Plast Surg. 1986; 9: 94-99
- Concomitant dislocations of the face and skull.J Max-fac Surg. 1978; 6: 2-14
- Sofortige Rekonstruktion der frakturierten Stirnho¨hlenvorderwand.Laryngorhinootologie. 1979; 58: 653-659
- Craniofacial trauma: an assessment of risk related to timing of surgery.Plast Reconstr Surg. 1990; 86: 238-245
Article info
Publication history
Accepted:
November 26,
1992
Received:
September 11,
1991
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.