Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures

Craniomaxillofacial Trauma & Reconstruction
Kevin J ChoiLiana Puscas

Abstract

The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on plastic surgeons and oral and maxillofacial surgeons is heretofore unknown. A cross-sectional survey was performed to assess the practice pattern variations in frontal sinus fracture management across multiple surgical disciplines. A total of 298 surveys were reviewed. 33.5% were facial plastic surgeons with otolaryngology training, 25.8% general otolaryngologists, 25.5% plastic surgeons, and 15.1% oral and maxillofacial surgeons. 74.8% of respondents practiced in an academic setting. 61.7% felt endoscopic sinus surgery changed their management of frontal sinus fractures. 91.8% of respondents favored observation for uncomplicated, nondisplaced frontal sinus outflow tract fractures. 36.4% favored observation and 35.9% favored endoscopic sinus surgery for uncomplicated, displaced frontal sinus outflow tract fractures. For complicated, displaced frontal sinus outflow tract fractures, obliteration was more frequently favored by plastic surgeons and oral and maxillofacial surgeons th...Continue Reading

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Citations

Apr 27, 2018·Plastic and Reconstructive Surgery·Obaid ChaudhryChristian El Amm
Jul 2, 2019·The Journal of Craniofacial Surgery·Jerette J SchultzMark S Granick
May 11, 2019·Craniomaxillofacial Trauma & Reconstruction·Mark A Arnold, Sherard A Tatum
May 23, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Raj D DedhiaE Bradley Strong
May 16, 2018·The Journal of Craniofacial Surgery·Anna Maria JaźwiecEwa Komorowska-Timek
May 14, 2021·Korean Journal of Neurotrauma·Hieder Al-ShamiAhmed M Salah
Mar 2, 2021·The Journal of Craniofacial Surgery·Deepashri H KambalimathSnehitha Achutha
Mar 2, 2021·The Journal of Craniofacial Surgery·Adetokunbo ObayemiAnthony Sclafani

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Methods Mentioned

BETA
dissection

Software Mentioned

FESS
Research Electronic Data Capture ( REDCap ) tools

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