Treatment of frontal bone fracture sequelae through inversion of the bone fragment

Silva, Jonathan Ribeiro da; Mourão, Carlos Fernando de Almeida Barros; Júnior, Hernando Valentim da Rocha; Magacho, Luiz Fernando; Moraes, Guto Fidalgo Daumas; Homsi, Nicolas

doi:10.1590/0100-69912016006011

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…The treatment modality to be used is different depending on the type of fracture [20,21]. Fractures of the frontal complex involve anterior and posterior walls and, when compared to the others in the maxillofacial region, are considered to be a controversial treatment since it varies according to the type present [22]. When there is a displacement of the anterior wall, it is usually treated with open reduction and rigid fixation using mini plates, however, other methods such as the use of the "camouflage" technique of the aesthetic defect can also be used [23].…”

Section: Discussionmentioning

confidence: 99%

Access to the upper third of the face: a literary review of indications, techniques, and intercurrences

Rezende,

Sena Sobrinho,

Beneti

2023

MedNEXT

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Due to its location, anatomy, and projection in the upper third of the face, the frontal bone is frequently affected by trauma of different intensities that result in fractures. Access to the upper third of the face for the correct reduction and stabilization of the trauma requires an extensive approach. The main alternatives for correct exposure are coronal and transcutaneous incisions. The coronal incision is the incision of choice, as it allows us to adequately approach important structures related to fractures of the frontal bone. The transcutaneous incisions, these incisions comprise the region of the eyebrow, upper eyelid, eyebrow, and gull-wing incision and, when present, lacerations in the soft tissue of the trauma itself can be used as access to the fractures. The present work aimed to describe, through a literature review, the accesses to the upper third of the face, as well as to report the techniques and intercurrences. Even though it is the main choice for coronal access, it can cause alopecia, loss of sensitivity, compromised aesthetics, muscle depression, possible need for postoperative blood transfusion, facial nerve deficit, and supratrochlear deficit, among others. The alternatives are transcutaneous incisions, these incisions include the region of the eyebrow, upper eyelid, eyebrow, and gull-wing incision and, when present, lacerations in the soft tissue of the trauma itself can be used as access to the fractures. It was concluded that although coronal access is the main choice, the choice of incision depends on the location of the fracture, the presence of laceration, its extension, its relationship with other fractures, and surgeon preference, in addition to aesthetic factors.

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Section: Discussionmentioning

confidence: 99%

Access to the upper third of the face: a literary review of indications, techniques, and intercurrences

Rezende,

Sena Sobrinho,

Beneti

2023

MedNEXT

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“…Fraturas pouco cominuidas podem ser tratadas por meio de abordagem endoscópica ou insuflação. Devido sua natureza cosmética esse padrão de fratura pode ser tratado tardiamente ou através de camuflagem com materiais aloplasticos ou autógenos 1,5,7 .…”

Section: Discussionunclassified

Tratamento cirúrgico de fratura fronto-naso-órbito-etmoidal e terço médio através de abordagem coronal: relato de caso

Teslenco¹,

Barros²,

Cavalcanti³

et al. 2021

Arch Health Invest

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Introdução: Dentre as fraturas do esqueleto facial, as do seio frontal não são epidemiologicamente as mais comuns, tendo uma prevalência de 2 a 15%, dependendo da população estudada. O manejo das fraturas nesta região se torna delicado, devido as estruturas adjacentes a ele. As modalidades de tratamento podem variar, desde uma redução aberta com fixação interna (RAFI), até uma cranialização da membrana sinusal, com fechamento do óstio nasofrontal, a fim de se prevenir ou corrigir uma fístula liquórica rinogênica. Objetivo: O presente trabalho tem como objetivo relatar um caso de fratura do osso frontal, tratado cirurgicamente por fixação. Relato de caso: Paciente com histórico de colisão entre moto e carreta, apresentando trauma de face e TCE grave, foi submetido a reconstrução de uma fratura fronto-naso-orbito-etmoidal e Le Fort II com miniplacas e parafusos. Conclusão: No presente caso, constatamos uma boa resolução cosmética ao paciente, sem complicações transoperatórias, precoces ou tardias.

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“…e proliferation and differentiation provide nutrients; on the other hand, it can quickly absorb the tissue fluid secreted by the wound, which is conducive to the coagulation of blood, keeps the surface of the wound clean, and promotes the repair of the wound. From the perspective of the patient, electrospun polyester carbon nanofibers as a trauma dressing can reduce the formation of scar tissue and the frequency of dressing changes, thereby reducing the mental and physical pressure of the patient [17,18].…”

Section: Woundmentioning

confidence: 99%

Carbon Nanomaterials in the Treatment of Infectious Bone Defects and Wound Scars after Wushu Fractures

Wei

Zou

et al. 2020

Journal of Chemistry

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Although modern antibiotics and surgical technology have made great progress, when using carbon nanomaterials to treat bone marrow-induced inflammation after martial arts fractures, how to simultaneously repair bone defects and control wound infections is the current focus of orthopedics research. This paper uses electrospinning technology to develop a carbon nanomaterial based on PLA, HA-g-PLA, and vancomycin. The surface morphology, biocompatibility, drug release, and osteogenesis of carbon nanomaterials are studied, selecting animal models to verify its effect in the treatment of osteomyelitis with bone defects and provide new ideas and new methods for the treatment of bone defects complicated by osteomyelitis infection. In this paper, carbon nanofibers containing doxycycline, a small molecule protease inhibitor, were prepared by simple blending. Encapsulation of carbon nanofibers can control the slow release of doxycycline and improve the effect of doxycycline in treating chronic wounds. This article uses two methods to prepare different types of osteomyelitis models and compare them. After injecting saline or bacterial solution, the two groups were sealed with bone wax and the incision was closed; the blank group did not do any treatment. Within 30 days after surgery, the appearance of the left hind limb wound and general signs of infection were closely monitored, body temperature was measured, and blood was collected from the ear veins of experimental animals to analyze the changes in C-reactive protein (CRP) and procalcitonin levels (PCT); X-ray, CT imaging, and histological observation were performed on 14 and 28 days. Studies have shown that when the drug loading of doxycycline increases from 10% to 15%, this is related to the change in properties of the polylactic acid fiber membrane from hydrophobic to hydrophilic caused by the increase in doxycycline drug loading.

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Treatment of frontal bone fracture sequelae through inversion of the bone fragment

Cited by 5 publications

References 13 publications

Access to the upper third of the face: a literary review of indications, techniques, and intercurrences

Access to the upper third of the face: a literary review of indications, techniques, and intercurrences

Tratamento cirúrgico de fratura fronto-naso-órbito-etmoidal e terço médio através de abordagem coronal: relato de caso

Carbon Nanomaterials in the Treatment of Infectious Bone Defects and Wound Scars after Wushu Fractures

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