Analysis of 158 frontal sinus fractures: current surgical management and complications

Gerbino, Giovanni; Roccia, Fabio; Benech, Arnaldo; Caldarelli, Claudio

doi:10.1054/jcms.2000.0134

Cited by 200 publications

(177 citation statements)

References 29 publications

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“…It will also allow us the insight in the volume of the lesion and its propagation towards surrounding structures. MRI on the other hand can detect mucocele but may lead us to wrong conclusion by presenting condensed mucus in sinus as air filled cavity [16,22].…”

Section: Discussionmentioning

confidence: 99%

Proptosis and Diplopia as Consequences in Trauma of Craniofacial Junction

Pajić¹,

Boljevic

Antic

et al. 2017

FU Med Biol

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Abstract. In the trauma of craniofacial junction, frontal sinus wall fractures take up 5-15% of all facial bone fractures. The most common mechanism of their occurrence comes as a result of the action of high-energy impact force on the frontal area. Treatment of the injuries in frontal-orbital-ethmoidal regions largely depends on the responsible experts (otolaryngologist, maxillofacial surgeon or neurosurgeon) in all cases, because of the implementation of diverse surgical technics in order to achieve the best possible outcome for the patient. Bearing in mind the complex anatomical features of this region, it is clear that these procedures are often accompanied by series of possible complications, all of which are certainly neurosurgical. These can be expressed as early or late complications, and could be characterized by diverse clinical manifestations. Mucocele is formed, either due to partial obstruction of the sinus mucosa or due to the obstruction of the frontal sinus. The long term existence of mucocele and its progressive growth will result in strongpressure on the adjacent bones, and lead to their destruction followed by the process-propagation into surrounding tissues and spaces. In the further development if a bacterial contamination is detected, it will lead to the purulent inflammatory process and clinical picture of mucopyocele. In most clinical cases with complications proptosis and diplopia are dominant ophthalmic manifestations. In this paper we will present our experience in the treatment of proptosis and diplopia, as well as the ways of diagnostic evaluation in order to achieve timely diagnosis and assure swift healing of patients.

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Section: Discussionmentioning

confidence: 99%

Proptosis and Diplopia as Consequences in Trauma of Craniofacial Junction

Pajić¹,

Boljevic

Antic

et al. 2017

FU Med Biol

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“…In the present case, the sinuses where not severely fractured so that a primary reconstruction was performed. A sinus drainage tube as performed in this case is also recommended in dorsal wall fractures if the dura mater is intact and also if the posterior sinus wall is not fractured without evidence of a higher complication rate [9,10]. The upper face reconstruction follows the patterns given by Manson et al [7].…”

Section: Discussionmentioning

confidence: 99%

Complex facial trauma with combined surgical and orthodontic rehabilitation

Ballon¹,

Ling

Lelke

et al. 2009

J. Maxillofac. Oral Surg.

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Severe panfacial trauma require broad reconstructive procedures. As in the case presented, a primary reconstruction with ideal aesthetic outcome cannot be reached in every case. If not, these cases often require further reconstructive procedures. What this can be and how long this could take, this article intends to show. This case report presents the history of a today 30 year old male patient with a severe central midfacial comminuted fracture with preexisting Angle class II and comprehensive reconstruction.

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“…Mucocele is known to develop from the frontal sinus in 51% to 98% of cases after sinus surgery and less than 1% after frontal craniotomy of routine neurosurgeries [3,14,[16][17][18]. Because 67% to 100% of mucoceles occur several years or decades after surgery, some authors have recommended that patients who have received frontal sinus trauma or surgery should be followed up for at least 5 to 10 years or for their remaining lifetime [2,6,7,19].…”

Section: Discussionmentioning

confidence: 99%

“…Frontal sinus mucoceles develop as a consequence of inadequate sinus ventilation that arises due to inflammation, allergy, polyps, tumors, surgery, and trauma [3,9,14,16,18], and it is known that improved ventilation will lead to normally functioning sinus epithelium [5]. Treatment of mucoceles consists of removal of the mucocele by an obliteration procedure and a marsupialization that attempts to enhance ventilation.…”

Section: Introductionmentioning

confidence: 99%