Surgical approach of isolated fracture of the anterior wall of the frontal sinus: The upper eyelid incision

M, Bourry; Oliver, Charles A.; Maalouf, J.; Corre, Pierre; Bertin, Hélios

doi:10.1016/j.jormas.2018.11.010

Cited by 7 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kim et al [ 18 ] also introduced a method of percutaneously approaching the frontal anterior wall, inserting a screw, and then treating the fracture through wiring. Bourry et al [ 19 ] reported reduction and rigid fixation of the anterior wall of the FSF via an upper blepharoplasty incision but that access to the upper and lateral FSF sites was impossible.…”

Section: Discussionmentioning

confidence: 99%

Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

Kwak

Choi

Kim

2022

Arch Craniofac Surg

View full text Add to dashboard Cite

Background: Frontal sinus fractures are relatively rare. Their surgical management significantly differs depending on whether the posterior wall is invaded and the clinical features vary. A bicoronal incision or endoscopic approach can be used. However, the minimally invasive approach has been attracting attention, leading us to introduce a simple and effective surgical method using multiple-threaded Kirschner wires.Methods: All patients had isolated anterior wall fractures without nasofrontal duct impairment. The depth from the skin to the posterior wall was measured using computed tomography to prevent injury. The edge of the bone segment on the skin was marked, a threaded Kirschner wire was inserted into the center of the bone segment, and multiple Kirschner wires were gently reduced simultaneously.Results: Surgery was performed on 11 patients. Among them, seven patients required additional support for appropriate fracture reduction. Therefore, a periosteal elevator was used as an adjunct through a small sub-brow incision because the reduction was incomplete with the Kirschner wire alone. The reduction results were confirmed using facial bone computed tomography 1 to 3 days postoperatively. The follow-up period was 3 to 12 months.Conclusion: The patients had no complications and were satisfied with the surgical results. Here we demonstrated an easy and successful procedure to reduce a pure anterior wall frontal sinus fracture via non-invasive threaded Kirschner wire reduction.

show abstract

Section: Discussionmentioning

confidence: 99%

Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

Kwak

Choi

Kim

2022

Arch Craniofac Surg

View full text Add to dashboard Cite

show abstract

“…Fractures of the frontal sinus are relatively rare and account for 5-12% of all fractures of the facial skeleton (Kim, 2016). This is due to the fact that the front wall of the frontal sinus is formed by a thicker layer of cortical bone (2-12 mm) and has a sufficiently curved spherical shape, so it is much more resistant to fractures than any other facial bone (Bourry, 2019). This type of injury is more common in men in their fourth decade of life and most often occurs as a result of a traffic accident in which the patient hits his face on the dashboard or steering wheel.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Closed Fracture of the Anterior Wall of the Frontal Sinus with Displacement by the ORIF Technique using a Titanium Plate: A Case Report

Zabolotnyi,

Nesterchuk,

Kostiuchenko

et al. 2023

jmhs

View full text Add to dashboard Cite

Fractures associated with anterior and posterior frontal sinus walls are among the most challenging cranio-maxillofacial injuries. These represent a major emergency, having a potentially severe clinical picture, with intracranial hemorrhage, cerebrospinal fluid leak, meningeal lesions, pneumocephalus, contusion or laceration of the brain matter, coma, and in some cases, death. In this article, we present the case of a 32-year-old patient with the diagnosis of: Closed fracture of the anterior wall of the frontal sinus with displacement, fracture of the posterior wall of the frontal sinus without displacement and impairment of the upperface bone architecture. Despite the severity and complexity of the case, early initiation of correct ENT surgery, using ORIF (open fracture alignment and internal fixation) technique, led to the successful reconstruction and redimensioning of upperface architecture and to the restoration of the patient’s physiognomy. This article describes a case report on the use of titanium plates for the reconstruction of the upper aesthetic area of the face. The article also describes the use of the ORIF technique, its description, and its advantages, as well as a literature review in order to show its advantages in the avoidance of postoperative complications. The purpose of the work is to describe a new technique that helps to avoid aesthetic and functional complications in the future, which will be useful to otorhinolaryngologists and maxillofacial surgeons.

show abstract

“…Dental augmentation, obliteration of the FS and reconstruction of other cranial abnormalities are among the reported uses of HA cement, which has been successfully utilised to contour and shape a variety of skull deformities, such as the frontofacial skeleton reconstruction (15) . FS fractures are relatively uncommon among maxillofacial fractures, but due to their proximity to the brain and orbit, they may cause sinusitis, mucocele formation, forehead deformities, CSF leaking and intracranial abscess if inadequately managed (16)(17) . This study aims to compare the complication rate in FS obliteration using 3 different obliterating material: autogenous fat, autogenous cancellous bone and hydroxy appetite cement.…”

Section: Introductionmentioning

confidence: 99%

Comparison for the complication rate with three different materials used in frontal sinus obliteration

abdallah

2023

Egyptian Dental Journal

View full text Add to dashboard Cite

Aim:The aim of the current study was to evaluate the complications rate after frontal sinus obliteration following trauma with the use of each one of the following graft materials separately; abdominal fat, autogenic iliac bone, or hydroxyappaite cement.Patients and Methods: This study included 11 patients who is indicated for FS obliteration after frontal bone trauma, patients were divided into three groups according to the intended material to be used in FS obliteration; group I (Autogenous fat group) included four patients where the FS is obliterated with freshly harvested autogenous abdominal fat, group II included four patients and the sinus is obliterated with autogenous bone (bone group), while group III (hydroxyapatite group) included three patients where FS obliteration done with hydroxyapatite (HA) cement.Results: All the used materials for FS obliteration showed comparable results with high success rate and low rate of complications with no significant differences between them, most of the complications that happen were transient and were categorized as minimum to moderate. Conclusion:Autogenous fat, HA cement and autogenous cancellous bone are perfect materials to obliterate the FS. The benefits of HA cement include the lack of donor site morbidity and the ability to reconstruct the anterior table, however with an additional cost compared with autogenous grafts.

show abstract

Surgical approach of isolated fracture of the anterior wall of the frontal sinus: The upper eyelid incision

Cited by 7 publications

References 11 publications

Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

Reduction of comminuted fractures of the anterior wall of the frontal sinus using threaded Kirschner wires and a small eyebrow incision

Surgical Treatment of Closed Fracture of the Anterior Wall of the Frontal Sinus with Displacement by the ORIF Technique using a Titanium Plate: A Case Report

Comparison for the complication rate with three different materials used in frontal sinus obliteration

Contact Info

Product

Resources

About