Abstract
Treatment of frontal sinus fractures has been controversial for years. The aim of treatment, besides cosmetic restoration, is to create a “safe” sinus especially in those with evidence of injury to the frontal sinus outflow tract. Early and late complications include acute and chronic sinusitis, mucocoele and mucopyocoele formation, brain abscess and osteomyelitis. Osteoplastic flap with frontal sinus obliteration or cranialisation is most commonly performed. With the advent of modern endoscopic and advanced imaging techniques, endoscopic sinus surgery for treatment of diseases of the frontal sinus is ever increasing. In this paper, we describe our successful experience using a single-stage, combined open and transnasal endoscopic technique in management of patients with anterior table frontal sinus fractures involving the frontal sinus outflow tract.
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Gossman DG, Archer SM, Arosarena O (2006) Management of frontal sinus fractures: a review of 96 cases. Laryngoscope 116:1357–1362
Chen KT, Chen CT, Mardini S, Tsay PK, Chen YR (2006) Frontal sinus fractures: a treatment algorithm and assessment of outcomes based on 78 clinical cases. Plas Reconstr Surg 118(2):457–468
Strong EB, Pahlavan N, Saito D (2006) Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg 135:774–779
Wilson BC, Davidson B, Corey JP, Haydon RC 3rd (1998) Comparison of complications following frontal sinus fractures managed with exploration with or without obliteration over 10 years. Laryngoscope 98:516–520
Luce EA (1987) Frontal sinus fractures: guidelines to management. Plast Reconst Surg 80(4):500–508
Smith TL, Han JK, Loehrl TA (2002) Endoscopic management of the frontal recess in frontal sinus fractures: a shift in the paradigm? Laryngoscope 112:784–790
Wallis A, Donald PJ (1988) Frontal sinus fractures: a review of 72 cases. Laryngoscope 98:593–598
Gerbino G, Roccia F, Benech A, Caldarelli C (2000) Analysis of 158 frontal sinus fractures: current surgical management and complications. J Craniomaxillofac Surg 28:133–139
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Presented at the ERS & ISIAN 2008—22nd Congress of the European Rhinologic Society
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Thong, J.F., Lee, J. Single-stage strategy for management of anterior table frontal sinus fractures involving the frontal sinus outflow tract. Eur J Plast Surg 34, 299–303 (2011). https://doi.org/10.1007/s00238-011-0544-7
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DOI: https://doi.org/10.1007/s00238-011-0544-7