The frontal sinus: a culprit or a victim? A review of 40 cases

Khatib, Karim El; Danino, A.; Malka, G.

doi:10.1016/j.jcms.2004.04.007

Cited by 41 publications

(34 citation statements)

References 12 publications

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“…Comminuted fractures can result in trapped mucosa within fracture lines. 3 This can result in sinusitis, or late mucocele formation. Any redundant or injured mucosa at the periphery of the fracture or on isolated bone fragments should thus be removed.…”

Section: Discussionmentioning

confidence: 99%

Frontal bone fractures - a report of three different methods of fixation: a case series

et al. 2017

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Frontal bone fractures are rare and occur in only 5-12% of maxillofacial traumas and have a relatively low incidence if compared to the remaining types of fracture involving the cranio-maxillofacial region. The fact that the frontal bone is more protected from traumatic events by both the prominence of the nasal pyramid which protects the naso-orbital region and the frontal bone higher resistance to mechanical impacts could attribute to this.

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Section: Discussionmentioning

confidence: 99%

Frontal bone fractures - a report of three different methods of fixation: a case series

et al. 2017

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“…Inicia su desarrollo a los dos años a partir de la celdilla etmoidal o invaginación del hueso frontal a través del meato superior o del receso frontal (3,5), su desarrollo se completa a los cinco años, radiológi-camente es observable a los 5-7 años y la formación completa es entre los 10-12 años (2,3,6).Dentro de las láminas del hueso frontal se ubica el seno frontal con una pared anterior gruesa, una pared posterior profunda delgada que se relaciona con las meninges del lóbulo frontal, una pared medial delgada que lo separa del seno contralateral, un vértice arriba y medial, una base cuya parte lateral corresponde a la órbita y la parte medial se apoya sobre el etmoides elevada por las células de este hueso (3,7).…”

Section: Anatomía Y Embriologíaunclassified

“…Aunque la clasificación de este trauma no es universal, en la literatura se han reportado varias, elaboradas por diferentes investigadores con el objetivo de ayudar al clínico a la planeación quirúrgica. Las diferentes clasificaciones coinciden en la localización anatómica y la observación intraoperatoria; para ayudar a simplificarlas se han tomado en cuenta tres aspectos: la fractura de pared posterior la cual es muy raro que se presente, la fractura de tabla anterior y posterior que conduce a lesión del receso frontonasal, la participación de pared medial de orbita y la fractura NOE que conduce a lesión del receso (2,3,13,14).…”

Section: Clasificaciones De Fracturas Frontalesunclassified

“…Las fracturas frontales corresponden a un 5-12% de las fracturas faciales, se asocian en un 32 % con fracturas panfaciales, el 15% a fracturas de complejo NOE, el 17% con fracturas cigomáticas y un 35% con fracturas de orbita (1,2). El trauma frontal es ocasionado por impactos de alta energía especialmente accidentes de tránsito, heridas por arma de fuego, caídas, deportes y asaltos (2).…”

Section: Introductionunclassified

“…El trauma frontal es ocasionado por impactos de alta energía especialmente accidentes de tránsito, heridas por arma de fuego, caídas, deportes y asaltos (2). La pared anterior del seno frontal puede soportar de 800 hasta 2200 libras de fuerza (3,4,5) pero al fracturarse, esta se puede propagar a lo largo de la órbita y complejo naso-orbito-etmoidal (3).…”

Section: Introductionunclassified

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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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Evaluation of a Minimally Disruptive Treatment Protocol for Frontal Sinus Fractures

Patel

Berens

Devarajan

et al. 2017

JAMA Facial Plast Surg

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IMPORTANCE Despite common goals of frontal sinus fracture treatment (restoring forehead contour and creating a safe sinus), there remains significant variability in evaluation and treatment.OBJECTIVE To describe our experience with a minimally disruptive treatment protocol for the treatment of frontal sinus fractures. DESIGN, SETTING, AND PARTICIPANTS Analysis of prospectively collected data from 2010 through 2015 at a level 1 trauma center. All patients with frontal sinus fractures treated with our protocol from January 2010 to December 2015. Patients with poor follow-up and/or incomplete medical records were excluded from analysis. MAIN OUTCOMES AND MEASURESPresence of an aerated frontal sinus and aesthetically acceptable forehead contour. Secondary outcome measures were complications related to frontal sinus fractures.RESULTS A total of 39 patients were treated under our minimally disruptive protocol, and 25 patients were included in the study; 18 (72%) were male and 7 (28%) were female. Their ages ranged from 6 to 62 years. After review, 22 patients had both clinical and radiographic follow-up. No patients underwent immediate frontal sinus repair. Five of 22 patients underwent surgery for indications other than their frontal sinus fracture: 1 of 5 patients underwent immediate surgical repair due to bilateral LeFort fractures, and 4 of 5 underwent delayed surgery due to nasal polyps (1 patient), scar revision (1 patient), and concomitant LeFort fractures (2 patients). Two of 22 patients (9%) underwent frontal sinus repair after outpatient surveillance due to persistent cerebrospinal fluid leak (1 patient) and orbital roof fracture (1 patient). The remaining 20 patients were treated nonoperatively, and 19 of 20 (95%) had spontaneous improvement in opacification and/or contour deformity. Twelve of 20 patients (60%) had improvement or resolution in both. One patient had ongoing partial opacification and deformity at the 3-month follow-up but was asymptomatic and had bony contour that was aesthetically acceptable to the patient. There were no complications. The median of all follow-up was 3 months. CONCLUSIONS AND RELEVANCEFrontal sinus fractures treated nonoperatively had a high rate of spontaneous ventilation and bony autoreduction with aesthetically acceptable frontal bone remodeling. There were no complications in the nonoperative group. The initial results of this study support further study of the safety and efficacy of a minimally disruptive protocol for frontal sinus fractures.LEVEL OF EVIDENCE 4.

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The frontal sinus: a culprit or a victim? A review of 40 cases

Cited by 41 publications

References 12 publications

Frontal bone fractures - a report of three different methods of fixation: a case series

Frontal bone fractures - a report of three different methods of fixation: a case series

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

Evaluation of a Minimally Disruptive Treatment Protocol for Frontal Sinus Fractures

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