Frontal sinus fractures with suspected outflow tract obstruction: A new approach for sinus preservation

Emara, Tarek Abdelzaher; Elnashar, Ismail; Omara, Tharwat Abdelzaher; Basha, Waleed M.; Anany, Ahmed

doi:10.1016/j.jcms.2014.09.013

Cited by 19 publications

(18 citation statements)

References 26 publications

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“…Although a recent paradigm shift toward functional sinus preservation has been described, the majority of published literature continues to promote open approaches. More recently, the endoscope has been introduced into many facets of intervention, including endoscopic‐assisted brow incisions for anterior table fractures and endoscopic frontal sinusotomies for FSDP obstruction . Endoscopic‐assisted approaches have been shown to reduce the associated functional and aesthetic consequences of traditional open repairs .…”

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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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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“…1 Any bone or mucosa that is left will stimulate fibrosis and spontaneous osteogenesis, narrowing the outflow tract and obliterating the sinus. 27 A majority of patients do appear to regain patency of the nasofrontal duct following endoscopic intervention, thus challenging previous ideas of obliteration as best practice. 26,27…”

Section: Nasofrontal Outflow Tract Involvementmentioning

confidence: 98%

“…27 A majority of patients do appear to regain patency of the nasofrontal duct following endoscopic intervention, thus challenging previous ideas of obliteration as best practice. 26,27…”

Section: Nasofrontal Outflow Tract Involvementmentioning

confidence: 98%

“…5,26 The procedure begins with the introduction of the endoscope through a coronal incision or pre-existing laceration followed by thorough antibiotic and normal saline irrigation. 27 The surgeon must then remove all mucosa from above the middle turbinate to the nasal roof with a microdebrider, create a septal window by clearing all bone and cartilage, and drill a connection between the frontal sinus and nasal cavity. 1 Any bone or mucosa that is left will stimulate fibrosis and spontaneous osteogenesis, narrowing the outflow tract and obliterating the sinus.…”

Section: Nasofrontal Outflow Tract Involvementmentioning

confidence: 99%

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Frontal Sinus Fractures

Schultz

Braun

Truong

2017

Seminars in Plastic Surgery

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The frontal bone serves a protective role, representing the transition between the facial skeleton and the cranium. Within its enclosure, the frontal sinus lies adjacent to many important intracranial structures, and injury to this region has severe complications if not properly managed. Historically, the goals of frontal sinus fracture management have been to best prevent intracranial complications with invasive procedures, but a recent shift favoring conservative management now aims to preserve the form and function of the frontal sinus and its outflow tract. With the advancement of endoscopic techniques and the development of new technologies, many alternatives to aggressive surgical management are available.

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“…Recent advances in endoscopic surgery have led to the initial debridement of fractured bony segments and lacerated mucosa at the early stage of trauma as well as the delayed procedure [ 12 ].…”

Section: Treatmentmentioning

confidence: 99%

Approach to Frontal Sinus Outflow Tract Injury

Kim

2017

Arch Craniofac Surg

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Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications. This paper aimed to examine the surrounding anatomy, diagnosis, and treatment of FSOT.

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Frontal sinus fractures with suspected outflow tract obstruction: A new approach for sinus preservation

Cited by 19 publications

References 26 publications

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

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

Frontal Sinus Fractures

Approach to Frontal Sinus Outflow Tract Injury

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