Fractures of the frontal sinus: Classification and its implications for surgical treatment

Ioannides, Charis; Freihofer, Hans Peter M.

doi:10.1016/s0196-0709(99)90027-3

Cited by 59 publications

(38 citation statements)

References 25 publications

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“…34 -36 Elaborate classification schemes with multiple subdivisions do not add significantly in the management of frontal sinus injuries, as the operative options are limited. 37 Most authors agree that three components related to the frontal sinus must be taken into account: the anterior table, the posterior table, and the nasofrontal duct. 1,7,15,33,38 In addition, injury to the dura, presence of cerebrospinal fluid leak, and open cerebral trauma, most frequently associated with tissue loss, must be taken into account in a classification of frontal sinus injury.…”

Section: Classification Of Injuriesmentioning

confidence: 99%

Management of Frontal Sinus Fractures

Manolidis¹,

Hollier

2007

Plastic and Reconstructive Surgery

104

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Frontal sinus fractures are relatively uncommon maxillofacial injuries, making up only 5 to 12 percent of all facial fractures. Associated intracranial, ophthalmologic, and other maxillofacial injuries are very common because of the force of injury required to fracture the frontal bone. High-resolution computed tomography of the frontal region in multiple planes is essential for predicting the degree of frontal injury, associated injuries, and the type of procedure indicated. Exploration of the frontal sinus with reduction alone is reserved for a small minority of very simple fractures. Most frontal sinus fractures will require the obliteration of the sinus. This is achieved in the majority of instances with preservation of the posterior wall. Those with more extensive injuries and the presence of a cerebrospinal fluid leak will require frontal sinus cranialization after repair of the dural injuries. In rare instances, primary bone grafts will be required. In both cranialization and obliteration procedures, the nasofrontal ducts must be managed appropriately to avoid complications. Newer techniques involving endoscopic image-guided surgery may offer an alternative for a small subset of patients with frontal sinus injury.

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Section: Classification Of Injuriesmentioning

confidence: 99%

Management of Frontal Sinus Fractures

Manolidis¹,

Hollier

2007

Plastic and Reconstructive Surgery

104

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“…6 Although reconstruction of the sinus should be the aim whenever possible, 7,8 frontal sinus obliteration is used to treat fractures presenting with involvement of the posterior wall that do not require neurosurgical intervention; when damage to the drainage system occurs; in anterior wall comminutions, chronic infection and other nonmalignant conditions. 6, [9][10][11][12][13][14][15] The success of sinus obliteration is related to meticulous extirpation of the frontal sinus mucosa, internal wall decortication, permanent occlusion of the nasofrontal ducts, isolation of the grafted environment and its capacity to harbor undesired pathogens. [16][17][18][19][20][21][22][23] Abdominal fat is considered the gold standard for obliteration procedures since it was described in the 1950s 24, 25 and it has been extensively used.…”

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confidence: 99%

Frontal Sinus Obliteration with Iliac Crest Bone Grafts. Review of 8 Cases

Monnazzi

Gabrielli

Pereira-Filho

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

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The medical charts of patients sequentially treated for frontal sinus fractures by obliteration with autogenous cancellous iliac crest bone in the Oral and Maxillofacial Surgery Division of this institution were reviewed. From those, eight had complete records and adequately described long-term follow-up. All were operated by the same surgical team. Those patients were recalled and independently evaluated by 2 examiners. Radiographs and/or CT scans were available for this evaluation. Associated fractures and complications were noted. The average postoperative follow-up was 7 years, ranging from 3 to 16 years. The main complication was infection. Four patients (50%) had uneventful long-term follow-ups and four (50%) experienced complications requiring reoperation. Based on the studied sample studied the authors conclude that the obliteration with autogenous bone presented a high percentage of complications in this series.

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“…La oclusión del receso frontal debe ser permanente, aislando la comunicación con senos paranasale; así el seno frontal se trata como una cavidad aislada y se debe evitar la formación de mucoceles y mucopioceles (figura 5) (1,3,14,15,23,24,26,29). …”

Section: Examen Del Receso Frontalunclassified

“…Varios estudios han demostrado que el revestimiento del mucocele produce resorción ósea por las prostaglandinas y colagenasas de los fibroblastos que son estimulados por las citoquinas producidas por los linfocitos y monocitos. Los principales síntomas a nivel orbitario son dolor, edema, exoftalmos, diplopía y pérdida de la visión cuando se genera presión en la parte posterior del seno, meningitis, neumoencéfalo, absceso y convulsiones (3,6,19,29,45,(47)(48)(49)(50). Se debe proceder a cranealización y desfuncionalización del seno frontal.…”

Section: Complicaciones Tardíasunclassified

Manejo de trauma frontal. Revisión de literatura y reporte de casos

Neira

Eslava

2010

Rev. Med.

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ResumenDesde la época de Reidel (1898) han sido considerables los avances en el manejo del trauma frontal; sin embargo, el tratamiento para este trauma sigue siendo controvertido y si por alguna circunstancia el manejo no es el adecuado, se pueden presentar serias complicaciones. En este articulo se reportan siete casos manejados por el servicio de Cirugía Oral y Maxilofacial del Hospital Militar Central (HMC) de Bogotá, Colombia, y se hace una revisión de la literatura sobre manejo de fracturas de seno frontal y las diferentes técnicas utilizadas, especialmente en la obliteración del receso frontal con los materiales autógenos o aloplásticos disponibles y las complicaciones más frecuentes.Palabras clave: receso frontal, cranealización, desfuncionalización, obliteración, mucocele MANAGEMENT OF FRONTAL TRAUMA. REVIEW LITERATURE AND REPORT OF CASES AbstractSince the work of Reidel (1898), there have been considerable advances in the management of frontal trauma. However, the treatment for this trauma is still controversial, so if given the case of inappropriate management, it can imply serious complications. In this article seven cases handled by the service of Oral Surgery and Maxilofacial of the Central Military Hospital (HMC) of Bogotá-Colombia are reported. A literature review was prepared on managing fracture of frontal sinus and the different technologies used, especially in the frontal recess obliteration with available autogenous or alloplastic materials and the most frequent complications.Key words: frontal recess, cranialization, defunctionalization, obliteration, mucocele ABORDAGEM DE TRAUMA FRONTAL. REVISÃO DA LITERATURA E RELATO DE CASOS ResumoDesde o tempo de Reidel (1898) tem havido avanços consideráveis na abordagem de trauma frontal; porem, o tratamento para o trauma ainda é controverso e se por algum motivo, a abordagem não é adequada, complicações graves podem ocorrer. Neste trabalho nós relatamos sete casos tratados pelo Serviço de Cirurgia Bucomaxilofacial do Hospital Militar Central (HMC) de Bogotá, Colômbia, e uma

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Fractures of the frontal sinus: Classification and its implications for surgical treatment

Cited by 59 publications

References 25 publications

Management of Frontal Sinus Fractures

Management of Frontal Sinus Fractures

Frontal Sinus Obliteration with Iliac Crest Bone Grafts. Review of 8 Cases

Manejo de trauma frontal. Revisión de literatura y reporte de casos

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