Algorithms for the management of frontal sinus fractures: A retrospective study

Çalış, Mert; Kaplan, Güven Ozan; Küçük, Kutluhan Yusuf; Altunbulak, Ahmet Y; Karaosmanoglu, Ayca Akgoz; Işıkay, Ahmet İlkay; Mavili, Mehmet Emin; Tunçbi̇lek, Gökhan

doi:10.1016/j.jcms.2022.09.007

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…In developed countries, on the other hand, the incidence of frontal sinus fractures has declined over the last 20 years thanks to improved living standards and the use of public transport [17]. Fractures of the frontal sinus seem to be the prerogative of young males and this was confirmed by this study which reported a mean age of 29.9 years and 94.10% of males [4] [5] [16] [18]. The clinical signs found in this series are consistent with those reported in the literature [19].…”

Section: Discussionsupporting

confidence: 60%

Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso)

Coulibaly,

Gane-Bang,

Biogo

et al. 2024

OJST

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Introduction: Frontal sinus fractures are potentially serious. They are defined as a solution of continuity, open or closed, of one or both bone tables of the frontal sinus. This study aims to report on the management of them at the Yalgado OUEDRAOGO University Hospital Centre. Methodology: It is a descriptive cross-sectional study with retrospective collection from January 01, 2016 to December 31, 2018. Patients with frontal sinus fractures were managed at the Yalgado OUEDRAOGO University Hospital Centre through CT-scan proof. Results: Over three years, a total of 102 cases of frontal sinus fractures were collected with 29.9 years as average age. There were 96 men. Workers in the informal sector and pupils/students represented 58.90% of patients. The residence of the patients was urban in 68.80% of cases and rural in 31.40%. Road traffic accidents (RTAs) happened in 90.20%, and involved 2-wheelers in 98.20%. None of these drivers was wearing a helmet. The type III frontal fracture of Ioannides et al. represented 51.9% of cases. In 89.21% of cases,

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Section: Discussionsupporting

confidence: 60%

Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso)

Coulibaly,

Gane-Bang,

Biogo

et al. 2024

OJST

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“…In cases with more dramatic displacements of the posterior table and those with a CSF leak that does not spontaneously resolve within a few days, operative intervention is usually indicated for cranialization of the sinus. 4,7,9,37,38 Cranialization, as introduced by Donald and Bernstein, 39 involves removing the posterior wall of the frontal sinus, allowing the brain to migrate into the sinus space. 7 The present study indicated a predominant trend for nonoperative management, with 50 cases (55%) undergoing observation only for their frontal sinus fractures.…”

Section: Discussionmentioning

confidence: 99%

“…For posterior tale fractures, observation (monitoring) is indicated in cases of nondisplaced or minimally displaced fractures with no CSF leak. In cases with more dramatic displacements of the posterior table and those with a CSF leak that does not spontaneously resolve within a few days, operative intervention is usually indicated for cranialization of the sinus 4,7,9,37,38 . Cranialization, as introduced by Donald and Bernstein, 39 involves removing the posterior wall of the frontal sinus, allowing the brain to migrate into the sinus space 7 …”

Section: Discussionmentioning

confidence: 99%

Frontal Sinus Fractures: An Evaluation of Patient Demographics, Mechanisms of Injury, Classification, and Management Strategies in Patients Referred to a Trauma Center, From 2014 to 2019

Khojastepour,

Iravani,

Khaghaninejad

et al. 2023

Journal of Craniofacial Surgery

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This retrospective study aimed to present demographic data, mechanisms of injury, anatomical locations, and management strategies in patients with frontal sinus fractures. The study included 91 patients with frontal sinus fractures attending the Rajaee Hospital of Shiraz between 2014 and 2019. The data recorded for each patient included age, sex, injury mechanism, fracture classification, associated craniofacial fractures, nasofrontal duct injury, cerebrospinal fluid leak, and treatment approach. The mean age of patients was 31.0±14.0 years, with male predominance (95.6%). Car crashes represented the most frequent mechanism of frontal sinus fracture, involving 31 subjects (34%). Isolated anterior and posterior table fractures were seen in 32 (35.2%) and 5 (5.5%) patients. Fifty-four patients (59.3%) presented both tables’ involvement. Frontal sinus injuries occurred frequently (74.7%) with other facial fractures. Nasofrontal duct injury was found in 7 patients (7.7%), and 13 (14.3%) exhibited cerebrospinal fluid leakage. Fifty patients (55%) were treated with observation alone; 16 (17.5%) underwent sinus preservation, 12 (13.2%) experienced sinus obliteration, and 13 (14.3%) endured cranialization. Fisher’s exact test revealed no significant association between the classification of fracture and the mechanism of injury (P=0.591). However, a significant association was observed between the fracture classification and the treatment applied (P=0.023). Frontal sinus fractures were most often caused by car crashes in young adults. Combined anterior and posterior table fractures were more commonly found than isolated anterior or posterior table involvement. Most frontal sinus fractures were treated conservatively without DDS surgical operation.

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“…Attributes are determined based on statements that are adjusted to the provisions of PT X. The following are attributes with several statements [12].…”

Section: Methodsmentioning

confidence: 99%

Violation Types Determination of The Whistleblowing System Using the C4.5 Algorithm

Vernanda,

Piarna,

Lustiana

et al. 2023

CoreIT

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Whistleblowing is a complaint system and follow-up management of each violation report. The problem that arises is when determining the follow-up, namely determining the severity or severity of the violation and the sanctions given are only based on the superior's assessment without adhering to standard guidelines or rules. This results in the sanctions given not in accordance with the violations committed. The purpose of this study is to classify the types of violations so as to facilitate the determination of sanctions on the whistleblowing system using the C4.5 Algorithm. The partition was performed three times with the highest additional value of 0.8516 and a decision tree was obtained. Based on the decision tree, the final node that has been generated is then extracted into 27 rules. The classification results from the C4.5 Algorithm can be used to classify the types of violations with an accuracy rate of more than 80%. The first validation with 15 tests obtained an accuracy rate of 86.66%. The second validation is the combination of data on 125 cases of combination data and obtained an accuracy rate of 84.8%. The decision tree generated from three partitions consists of 27 rules that can be used as a pattern to classify the types of violations.

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Algorithms for the management of frontal sinus fractures: A retrospective study

Cited by 5 publications

References 25 publications

Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso)

Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso)

Frontal Sinus Fractures: An Evaluation of Patient Demographics, Mechanisms of Injury, Classification, and Management Strategies in Patients Referred to a Trauma Center, From 2014 to 2019

Violation Types Determination of The Whistleblowing System Using the C4.5 Algorithm

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