Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions.They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.
Introduction: Desmoplastic fibroma is a benign and rare intraosseous tumor. This lesion has local aggressiveness and a significant risk of recurrence. It can simulate a malignant tumor chart. Observation: A 11-year-old child who consulted for a mandibular swelling gradually evolving for 1 year. Swelling is associated with dental mobility without sensory disorders or cervical lymphadenopathy. Radiological signs are in favor with aggressive pathology. The biopsy revealed a desmoplastic fibroid or low-grade fibrosarcoma. Radical surgical treatment was performed. Discussion: This location is exceptional. No cases of mandibular localization have been reported in the literature. The clinical and radiological signs are not very specific. The diagnosis is most often pathological associated with histochemical immune. The recommended management is surgical by a wide resection.
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