Frontal Sinus and Naso-orbital-Ethmoid Fractures

Pawar, Sachin; Rhee, John S.

doi:10.1001/jamafacial.2014.14

Cited by 37 publications

(35 citation statements)

References 34 publications

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“…In rare cases CSF leak may occur secondary to damage of the cribriform plate and is heralded by CSF rhinorrhea. 58 Given its central location, it is not surprising that multiple approaches to the NOE complex have been described and employed. The coronal approach is commonly used, and it provides good access to the fracture site.…”

Section: Naso-orbito-ethmoid Fracturesmentioning

confidence: 99%

Orbital Trauma

Lozada

Cleveland

Smith

2019

Seminars in Plastic Surgery

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The orbit is contained within a complex bony architecture with overlying soft tissue that involves many important anatomical structures. Orbital trauma is a frequent cause of damage to these structures. The authors review the literature on reconstructive techniques focusing on fractures of the orbital rim, orbital roof, orbital floor, medial orbital wall, and naso-orbito-ethmoid complex. A thorough literature review was conducted using PubMed analyzing articles relevant to the subject matter. Various search terms were used to identify articles regarding orbital trauma presentation, diagnosis, management, as well as postoperative complications. Articles were examined by all authors and pertinent information was gleaned for the purpose of generating this review. Orbital trauma can result in a wide variety of complications in form and function. Not all orbital fractures require operative repair. However, bony disruption can cause enophthalmos, hypophthalmos, telecanthus, epiphora, cerebrospinal fluid leaks, orbital hematoma, and even blindness to name a few. Timing of operative repair as well as reconstructive method is dictated by the patient's individual presentation. Successful fracture management requires a detailed understanding of the anatomy and pathophysiology to ensure restoration of the patients' preoperative state. Orbital trauma encompasses a wide variety of mechanisms of injury and resulting fracture patterns. A variety of surgical approaches to the orbit exist as has been discussed allowing the surgeon access to all area of interest. Regardless of the fracture complexity, the principles of atraumatic technique, anatomic reduction, and stable fixation apply in all cases.

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Section: Naso-orbito-ethmoid Fracturesmentioning

confidence: 99%

Orbital Trauma

Lozada

Cleveland

Smith

2019

Seminars in Plastic Surgery

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“…Although variably described and anecdotally biased, most classifications agree on essential anatomic considerations, including anterior and/or posterior table involvement, fracture depression and comminution, and involvement of the frontal sinus drainage pathway (FSDP). Approximately two thirds of frontal sinus fractures consist of both anterior and posterior table injuries, with isolated anterior table fractures occurring in one third and isolated posterior table fractures being less common (reportedly between 7% and 11%) . Furthermore, iatrogenic trauma can occur during various surgical procedures (eg, craniotomies and endoscopic sinus surgery), resulting in significant injury to the posterior table causing leakage of cerebrospinal fluid (CSF) .…”

mentioning

confidence: 99%

Changing the surgical dogma in frontal sinus trauma: transnasal endoscopic repair

Grayson

Jeyarajan

Illing

et al. 2017

Int Forum Allergy Rhinol

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“…(Table). [11][12][13][14][15][16][17][18][19][20][21][22] Article citation preference was given to the most current literature found for each category. In general, indications for nonoperative management included the presence of minimally displaced fractures, minimal or absent symptoms, patient noncompliance, and patients who were medically unfit.…”

Section: Surfmentioning

confidence: 99%

Interrelationship of Structure and Function in Maxillofacial Fractures

Kieliszak¹,

Larson

Keller³

et al. 2016

Journal of Osteopathic Medicine

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Surgical fixation of maxillofacial fractures can be associated with a myriad of surgical complications. Specific complications correlate with the type of fracture. The authors present a case of multiple maxillofacial fractures, briefly review various types of fractures, and discuss the operative decision-making process. This case report serves as an important reminder that the operative decision-making process should take into account a patient's entire clinical condition.

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Frontal Sinus and Naso-orbital-Ethmoid Fractures

Cited by 37 publications

References 34 publications

Orbital Trauma

Orbital Trauma

Changing the surgical dogma in frontal sinus trauma: transnasal endoscopic repair

Interrelationship of Structure and Function in Maxillofacial Fractures

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