2008
DOI: 10.1016/j.ijom.2008.03.010
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Endoscopic Transnasal Reduction of an Anterior Table Frontal Sinus Fracture: Technical note

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Cited by 19 publications
(11 citation statements)
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“…Otolaryngologists have proposed novel algorithms to incorporate advances in radiologic imaging and surgical techniques 9101112. Functional endoscopic sinus surgery (FESS) offers an alternative to frontal sinus obliteration and cranialization to manage the initial injury and potential long-term complications of frontal sinus fractures, including meningitis, cerebrospinal fluid (CSF) leak, mucoceles, and osteomyelitis 121314. Outpatient endoscopic exams can corroborate radiologic findings to improve surveillance when electing to treat FSOT fractures conservatively.…”
mentioning
confidence: 99%
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“…Otolaryngologists have proposed novel algorithms to incorporate advances in radiologic imaging and surgical techniques 9101112. Functional endoscopic sinus surgery (FESS) offers an alternative to frontal sinus obliteration and cranialization to manage the initial injury and potential long-term complications of frontal sinus fractures, including meningitis, cerebrospinal fluid (CSF) leak, mucoceles, and osteomyelitis 121314. Outpatient endoscopic exams can corroborate radiologic findings to improve surveillance when electing to treat FSOT fractures conservatively.…”
mentioning
confidence: 99%
“…[9][10][11][12] Functional endoscopic sinus surgery (FESS) offers an alternative to frontal sinus obliteration and cranialization to manage the initial injury and potential long-term complications of frontal sinus fractures, including meningitis, cerebrospinal fluid (CSF) leak, mucoceles, and osteomyelitis. [12][13][14] Outpatient endoscopic exams can corroborate radiologic findings to improve surveillance when electing to treat FSOT fractures conservatively. Endoscopic surgical interventions can involve extended endoscopic frontal sinusotomy (Draf type II) or endoscopic modified Lothrop procedures (Draf type III) to address the long-term complications of FSOT fractures, including chronic frontal sinusitis, mucoceles, or mucopyoceles.…”
mentioning
confidence: 99%
“…However, its disadvantages include a long operation time, difficult surgical technique, and incomplete fixation [ 15 ]. In the case of reduction using the transnasal approach, a second sinusotomy is possible [ 16 ]. However, this is true only in cases of non-displaced outer-table fractures, and fixation is difficult.…”
Section: Discussionmentioning
confidence: 99%
“…El manejo depende de la patogénesis de la lesión, el tratamiento es guiado por los principios básicos de una adecuada movilización de la fractura, su reducción y fijación (1). El objetivo del tratamiento es restaurar la función, prevenir complicaciones tempranas y tardías, protección de estructuras craneales y obtener un buen resultado estético, el cual es considerado un objetivo secundario (8,9,13,(19)(20)(21).…”
Section: Manejo De Fracturasunclassified
“…En los últimos diez años el manejo endoscópico ha sido exitoso y su utilización se reduce a fracturas simples no desplazada de tabla anterior que no incluya reborde orbitario superior (13,21,36,38,39,40). Este método mínimamente invasivo, ofrece una alternativa para el tratamiento del seno frontal y permite una resección amplia del suelo del seno frontal para facilitar el drenaje.…”
Section: Manejo Endoscópicounclassified