PMID: 9555839Apr 29, 1998Paper

Early combined management of frontal sinus and orbital and facial fractures

The Journal of Trauma
T T LeeP A Villanueva

Abstract

Historically, frontal sinus fractures and associated maxillofacial fractures were addressed at different times. We retrospectively reviewed our experience with a series of 79 consecutive patients with bitable frontal sinus fractures, most with associated facial fractures, who underwent early combined cranial and maxillofacial procedures. The operations were performed emergently for patients with open or depressed skull fractures and hematomas with mass effect, and electively within 2 weeks for those with closed fractures. The cranial procedures were performed first. The nasofrontal ducts were packed with "cigars" of bacitracin powder wrapped in Surgicel. All patients received antibiotics for 2 weeks. Postoperatively, good subjective cosmetic results were obtained except in one patient. Eight patients with lumbar drains had expected temporary cerebrospinal fluid (CSF) leaks of less than 72 hours duration. Six postoperative intracranial infections (four cases of meningitis, one epidural empyema, and one intracerebral abscess) were detected; five of these occurred in patients with open depressed fractures. Patients with preoperative CSF leaks (p = 0.0039, Fisher's exact test) and open fractures (p = 0.065, Fisher's exact test) wer...Continue Reading

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Citations

Jul 30, 2004·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Maryann O'Loughlin, Laura M Criddle
Apr 8, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Erik G SalentijnTymour Forouzanfar
Sep 2, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Erik G SalentijnTymour Forouzanfar
Nov 5, 2013·Oral and Maxillofacial Surgery Clinics of North America·Archibald D Morrison, Curtis E Gregoire
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·James HoltonAlan Herford
Apr 24, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R Bryan BellBryce E Potter
Oct 2, 2004·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Karim El KhatibGabriel Malka
Aug 31, 2000·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·G GerbinoC Caldarelli
Nov 23, 2006·The Journal of Craniofacial Surgery·Alessio BaccaraniDetlev Erdmann
Jan 26, 2010·The Journal of Craniofacial Surgery·Massimiliano TedaldiGiorgio Iannetti
Jul 23, 2008·Ophthalmic Plastic and Reconstructive Surgery·William R Nunery, Jeremiah P Tao
Nov 8, 2014·The Journal of Craniofacial Surgery·Bruno Henrique MarinheiroAlexandre Elias Trivellato
Feb 25, 2015·Craniomaxillofacial Trauma & Reconstruction·Gerhard S MundingerEduardo D Rodriguez
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·John A Buehler, R John Tannyhill
Jul 23, 2021·Ophthalmic Plastic and Reconstructive Surgery·Pavandeep Singh SandhuSaul Rajak

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