Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

Muminagić, Sahib; Masic, Tarikc; Babajic, Emina; Asotic, Mithat

doi:10.5455/medarh.2011.65.250-251

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Prior studies have raised the possibility that avascular bone grafts may be associated with greater risk of postoperative infection given that they have demonstrated higher rates of bony resorption, posing a risk of nonpermanent NFD obliteration and resulting ascending infection of the frontal sinus. 29 The present systematic review corroborated these limitations of avascular bone grafts by demonstrating 34 Case report 1 Tibial epiphyseal bone graft and fibrin sealant Rodríguez et al 36 Prospective 18 Cranial bone and DBX de Melo et al 21 Case report 1 Galeal frontalis flap Kim et al 26 Case report 1 Autologous bone graft and hydroxyapatite Kalavrezos et al 10 Retrospective 51 Pericranial flap Singh et al 11 Case report 1 Bone graft from iliac crest Polo et al 12 Case report 1 Pericranium and fascia and temporal muscle flap Faverani et al 22 Case report 1 Pedicled pericranium flap Baccarani et al 28 Case report 1 Combined pericranial flap and free radial fasciosubcutaneous extension forearm flap Eledeissi et al 17 Retrospective 20 Pericranial flap and bone chips Sailer et al 13 Retrospective 66 Pedicled pericranial flap Bluebond-Langner et al 25 Case report 2 Free fibula flap Kim et al 23 Case report 5 Reverse pedicled temporalis muscle flap Jaźwiec et al 24 Case report 1 Pericranial flap Kang et al 31 Retrospective 17 Autogenous calvarial bone de Melo et al 21 Case 27 Case report 7 Fibula free flap Kamoshima et al 19 Case report 1 Pericranial flap Disa et al 20 Case report 6 Pedicled transverse glabellar muscle flap Griner and Sargent 8 Case report 1 Bone graft and pericranial flap Pollock et al 32 Retrospective 34 Bone graft Kim et al 33 Retrospective 14 Bone and fat statistically significant increases in various postoperative morbidities. Bone grafts, when used without any other materials such as an accompanying flap, were associated with an increased occurrence of reoperation, frontal sinus infection, mucocele formation, and total overall number of postoperative complications.…”

Section: Face 2(4)supporting

confidence: 70%

“…A higher degree of bony resorption, in addition to lack of blood supply, are plausible mechanisms by which postoperative infection can occur with this obliteration material. [30][31][32][33][34] Increased bony resorption has also been found to be an independent risk factor for postoperative mucocele formation in various paranasal sinus cavities. 35 Given the periorbital and intracranial risk associated with frontal sinus mucoceles, bone grafts for NFD obliteration may be contraindicated in a subset of higher-risk patients or in cases of extensive frontal sinus detects and increased surface area for bony resorption.…”

Section: Face 2(4)mentioning

confidence: 99%

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Choice of Material for Nasofrontal Duct Obliteration in Frontal Sinus Fracture

Rutland

Bellaire

Katz

et al. 2021

FACE

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Introduction: Within the surgical management algorithm for frontal sinus fracture (FSF), the choice of material for nasofrontal duct (NFD) obliteration is controversial, and a multitude of materials have been described in the literature. The present study aims to perform a systematic review to determine postoperative outcomes associated with various NFD obliteration materials. Methods: Two independent reviewers identified studies to be included based on inclusion and exclusion criteria. Odds ratios and Fisher’s Exact Tests were then used to compare outcomes between cohorts based on the material used for NFD obliteration. Complications under review included donor site complications, reoperations, frontal sinus infections, cerebrospinal fluid leaks, cosmetic defects, persistent pain and/or headaches, and mucocele formation. Results: Twenty-nine studies met inclusion criteria. The use of a vascularized flap was associated with a reduced risk of reoperation and postoperative frontal sinus infection compared with non-flap materials (OR = 0.23 (CI: 0.05, 1.04), P = .05. The use of avascular bone graft was associated with an increased risk of reoperation (OR = 8.89 (CI: 2.24, 29.94), P < .001. Use of bone graft was associated with increased postoperative frontal sinus infection compared with non-bone materials (OR = 3.92 (CI: 1.28, 11.96)), P = .017 and postoperative mucocele formation, P = .0035. The use of bone graft was associated with increased risk of total postoperative complications (OR = 2.68 (CI: 1.41, 5.11), P < .01. Use of autologous materials was associated with decreased number of total complications when compared with non-autologous materials (OR = 0.13 (CI: 0.02, 0.99), P = .02. Conclusions: Avascular grafts, such as bone grafts, for NFD obliteration may be associated with an increased risk of reoperation. In particular, bone grafts are associated with higher rates of reoperation, postoperative infection and mucocele formation. Vascularized flaps appear to offer excellent postoperative outcomes with minimal operative morbidity. This systematic review may be useful in further refining the roles of certain materials in NFD obliteration for FSF surgery.

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Section: Face 2(4)supporting

confidence: 70%

Section: Face 2(4)mentioning

confidence: 99%

Choice of Material for Nasofrontal Duct Obliteration in Frontal Sinus Fracture

Rutland

Bellaire

Katz

et al. 2021

FACE

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“…Interpersonal violence and domestic violence add to craniofacial trauma. [1][2][3][4][5][6]8,11,12 Injuries caused due to sporting events are one of the emerging etiologic factors to be considered. 1,3,4 A similar observation was made in this series with predominant cause as RTA and mostly affecting men due to the outdoor occupational activity.…”

Section: Discussionmentioning

confidence: 99%

“…RTA accounts for the most common etiology in the Indian scenario. Interpersonal violence and domestic violence add to craniofacial trauma 1–6,8,11,12 . Injuries caused due to sporting events are one of the emerging etiologic factors to be considered 1,3,4 .…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Frontal Bone Fractures

Kambalimath¹,

Sridhar

Achutha³

2021

Journal of Craniofacial Surgery

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Introduction: Frontal bone fractures show a low frequency of occurrence of about 5% to 15% of all maxillofacial fractures occurring due to high-velocity injuries such as in the case of road traffic accidents, sporting events, assaults. Successful surgical management revolves around the concept of minimizing cosmetic deformity, maintaining normal sinus function, avoidance of short and long-term complications. In this article, the authors report a case series of 24 cases of frontal bone fracture treated with various treatment modalities. Materials and Methods: A total of 24 cases of frontal bone fracture admitted to our facility were treated accordingly and the subsequent follow up data were collected and compiled to be included in this study. Results: In our study, 83.33% cases showed isolated anterior table fractures, 8.3% cases with combined anterior and posterior table fractures. 40% cases managed conservatively, 41.6% with titanium mini plates, 12.5% cases with titanium mesh and 4% with cranialisation with fat obliteration. Conclusion: Our treatment decisions were based upon the extent and severity of the injuries which aided in tailoring the treatment modality. Thereby, curbing the long-term complications which could be foreseen and hence, a better functional outcome was achieved.

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“…Fractures involving frontal sinus account for 5% to 12% of all fractures of facial skeleton [ 1 2 3 4 5 6 ]. The frontal sinuses are pockets of space located above the orbit of each eye within the frontal bone.…”

Section: Introductionmentioning

confidence: 99%

Secondary Reconstruction of Frontal Sinus Fracture

Kim¹,

Lee²,

Cheon³

2016

Arch Craniofac Surg

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Fractures of frontal sinus account for 5%–12% of all fractures of facial skeleton. Inadequately treated frontal sinus injuries may result in malposition of sinus structures, as well as subsequent distortion of the overlying soft tissue. Such inappropriate treatment can result in aesthetic complaints (contour deformity) as well as medical complications (recurrent sinusitis, mucocele or mucopyocele, osteomyelitis of the frontal bone, meningitis, encephalitis, brain abscess or thrombosis of the cavernous sinus) with potentially fatal outcomes. Frontal contour deformity warrants surgical intervention. Although deformities should be corrected by the deficiency in tissue type, skin and soft tissue correction is considered better choice than bone surgery because of minimal invasiveness. Development of infection in the postoperative period requires all secondary operations to be delayed, pending the resolution of infectious symptoms. The anterior cranial fossa must be isolated from the nasal cavity to prevent infectious complications. Because most of the complications are related to infection, frontal sinus fractures require extensive surgical debridement and adequate restructuring of the anatomy. The authors suggest surgeons to be familiar with various methods of treatment available in the prevention and management of complications following frontal sinus fractures, which is helpful in making the proper decision for secondary frontal sinus fracture surgery.

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Managment of Frontal Sinus Fracture: Obliteration Sinus with Cancellous Bone graft

Cited by 6 publications

References 12 publications

Choice of Material for Nasofrontal Duct Obliteration in Frontal Sinus Fracture

Choice of Material for Nasofrontal Duct Obliteration in Frontal Sinus Fracture

Surgical Management of Frontal Bone Fractures

Secondary Reconstruction of Frontal Sinus Fracture

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