Experience in the management of frontal sinus fractures

The Journal of Craniofacial Surgery
Massimiliano TedaldiGiorgio Iannetti

Abstract

International guidelines for frontal sinus fractures, dealing with the indication of surgical treatment, obliteration of the frontal sinus, drainage, and cranialization, may differ.In this work, we describe our experience with frontal traumas, analyzing indications, type of treatment, and outcomes by reviewing all data of 112 patients treated for frontal fractures at the Department of Maxillo-Facial Surgery, Università degli studi di Roma Sapienza.We reviewed all clinical and surgical records of patients with traumatic frontal injury treated from 1997 to September 2008. Patients presenting displaced fractures of the anterior wall of the frontal sinus were treated through skin laceration, if existing, or through a coronal approach and fixed with rigid internal devices. Patients with fracture of the posterior wall of the frontal sinus underwent frontal sinus cranialization with galea pericranium pedicled flap to prevent eventful septic complications.Follow-up controls documented that 98 of 112 patients showed no neurologic impairment, no symptoms of cerebrospinal fluid leak, and no other complications after 6 months and 1 and 5 years when follow-up was possible.In the international literature, there is wide agreement about indica...Continue Reading

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Citations

Oct 22, 2013·Otolaryngologic Clinics of North America·W Marshall Guy, Anthony E Brissett
Mar 6, 2012·Oral and Maxillofacial Surgery Clinics of North America·Ladi DoonquahWarren Mullings
Nov 22, 2011·Radiologic Clinics of North America·Nisha MehtaMark P Bernstein
Dec 22, 2014·World Neurosurgery·Jacob L Freeman, Ken R Winston
Mar 14, 2014·Craniomaxillofacial Trauma & Reconstruction·Massimo RobionyArsa Fresku
May 16, 2018·The Journal of Craniofacial Surgery·Anna Maria JaźwiecEwa Komorowska-Timek
Jan 8, 2020·Annals of Maxillofacial Surgery·Priya Jeyaraj
Mar 30, 2021·Journal of Neurological Surgery. Part B, Skull Base·Christopher MillerRoukoz Chamoun
Nov 13, 2020·The Journal of Craniofacial Surgery·Paulina LeJonathan Black

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