[Results of multidisciplinary treatment of frontal sinus fractures].

Abstract:

BACKGROUND AND PURPOSE:The aim of the study was to present the results of our management of frontal sinus fractures. MATERIALS AND METHODS:We analyzed records of 101 patients treated between 1996 and 2002, who sustained frontal sinus fractures. 7 patients were women and 94 were men. The average age of patients was 34 years. We analysed: circumstance of frontal sinus injury, frontal sinus fracture patterns, associated facial tissue and bone injuries, central nervous system injuries, perioperative management, timing of operation, surgical procedures and complications. RESULTS:30 patients had anterior table fractures (type I), 51 had anterior and posterior table fractures (type II = 50, type IV = 1), 20 had posterior table fractures (type III). 22 patients were managed medically, 79 surgically. In 74 cases a combined, one-stage surgical procedure with neurosurgeons was performed, in 4 cases with an ophthalmologist, in 31 cases associated facial bone fractures were surgically managed. The average length of hospitalization was 16 days. There were 19 cases (24%) of postoperative complications, mostly early and late CSF leakage (12 patients). Inflammatory complications included acute frontal sinusitis (3 patients) and postoperative wound infection (1 patient). CONCLUSIONS:Multidisciplinary one-stage surgical treatment of patients suffering from frontal sinus fractures associated with central nervous system and facial injuries optimizes treatment results and minimizes postoperative complications. A significant reduction in early and late postoperative inflammatory complications confirms the efficiency of nasofrontal duct recanalization with frontal sinus reconstruction.

journal_name

Neurol Neurochir Pol

authors

Zapała J,Saif F,Moskała M,Krupa M

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

376-85

issue

5

eissn

0028-3843

issn

1897-4260

pii

6917

journal_volume

40

pub_type

杂志文章
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