Management of Skull Fracture Involving the Frontal Sinus

Gurdjian, E. S.; Shawan, Harold K.

doi:10.1097/00000658-193201000-00002

Cited by 14 publications

(5 citation statements)

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“…Quantifications of head injuries were reported in the 1930-60 literature, although limited fundamental biomechanical studies were conducted earlier [3][4][5][6][7]. Linear and angular accelerations were considered governing variables to describe mechanisms of trauma and define tolerance limits [8,9].…”

Section: Blunt Impact -Fundamental Data Used In Injury Assessmentmentioning

confidence: 99%

“…Pulses were of short duration because of the rigid end condition at the instant of impact. Association of linear skull fracture with brain injury, i.e., concussion (80% correlation from clinical cases) was based on previous studies [3,5]. Peak accelerations were used from three isolated and two intact whole-body cadaver tests, and mean acceleration data was used from the other isolated head to develop the original tolerance curve that had durations of up to 6 msec [8].…”

Section: Blunt Impact -Fundamental Data Used In Injury Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Biomechanical Aspects of Blunt and Penentrating Head Injuries

Yoganandan

Pintar

Zhang

et al. 2005

IUTAM Symposium on Impact Biomechanics: From Fundamental Insights to Applications

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Abstract.The objective of this presentation is to discuss certain biomechanical aspects of head injuries due to blunt and penetrating impacts. Emphasis is given to fundamental data leading to injury criteria used in the United States (US) regulations for motor vehicle safety. Full-scale and component tests done under US Federal Motor Vehicle Safety Standards (FMVSS) are described. In addition, results providing occupant safety and vehicle crashworthiness information to the consumer from frontal and lateral impact crash tests are discussed with an emphasis on head injury assessment and mitigation. Recent advancements are presented in angular acceleration thresholds for quantifying brain trauma. In the area of penetrating impact, newer experimental techniques are described for a better understanding of head injury secondary to penetrating impacts, with specific reference to the civilian population.

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Section: Blunt Impact -Fundamental Data Used In Injury Assessmentmentioning

confidence: 99%

Section: Blunt Impact -Fundamental Data Used In Injury Assessmentmentioning

confidence: 99%

Biomechanical Aspects of Blunt and Penentrating Head Injuries

Yoganandan

Pintar

Zhang

et al. 2005

IUTAM Symposium on Impact Biomechanics: From Fundamental Insights to Applications

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show abstract

“…Frontal bone fractures have a prevalence ranging from 5% to 15% of facial fractures, [1][2][3] with motor vehicle accidents and sports injuries being the most common causes of these fractures. 4,5 Young male adults are the most affected group.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous Approach to Treat a Fracture of the Anterior Wall of the Frontal Bone With Low Level of Comminution: A Case Report Closed Reduction of a Midfacial Bone Fracture

Barbosa

Pastore

Barreto

et al. 2022

Craniomaxillofacial Research & Innovation

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Study design case report. Objective present a transcutaneous approach to treat a fracture of the anterior wall of the frontal bone with low level of comminution. Methods the fracture was studied in detail with computed tomography (CT) and the patient was treated with a closed reduction of a midfacial bone fracture with the use of transcutaneous screws. Results Optimal aesthetic result was achieved without any adverse event up. CT at 6-month follow-up demonstrated good bone alignment of the anterior wall of the fractured frontal sinus. Conclusion Closed approaches, when well indicated, can be an interesting treatment option for isolated fractures of the anterior wall of the frontal sinus with low levels of comminution.

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“…Interessant ist, dass Gurdijan schon 1932 auf das Dilemma der richtigen Indikation zur Therapie der Stirnh ö hlenfrakturen hinwies. Er vertrat die Auff assung, dass in den meisten F ä llen eine konservative Therapie ausreichend sei, wobei andere bei jeder Stirnh ö hlenfraktur eine Operation empfahlen [12] . Zu diesem Zeitpunkt wurde die Stirnh ö hlenexenteration nach Kilian (s. unten) bevorzugt.…”

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Stirnhöhlenfraktur: aktuelle Kontroversen zur Therapie

Litschel

Aj²

2009

Laryngo-Rhino-Otol

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The surgical treatment of frontal sinus fractures is foreshadowed by fears of late complications. Complications such as meningitis and mucoceles should be prevented by cranialization or obliteration of the frontal sinus. These procedures are still standard treatment despite of recent developments over the last two decades in endoscopic sinus surgery, in medical imaging and surgical instrumentation. Nowadays the role of cranialization and obliteration is challenged by refined endoscopic frontal sinus surgery techniques, the widely-used image-guided systems and the multiplanar high-resolution computed tomography along with new data about postoperative complications. This overview summarizes the current literature, taking into account the existing evidence in the treatment of frontal sinus fractures.

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Management of Skull Fracture Involving the Frontal Sinus

Cited by 14 publications

References 0 publications

Biomechanical Aspects of Blunt and Penentrating Head Injuries

Biomechanical Aspects of Blunt and Penentrating Head Injuries

Transcutaneous Approach to Treat a Fracture of the Anterior Wall of the Frontal Bone With Low Level of Comminution: A Case Report Closed Reduction of a Midfacial Bone Fracture

Stirnhöhlenfraktur: aktuelle Kontroversen zur Therapie

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