首页    期刊浏览 2024年11月23日 星期六
登录注册

文章基本信息

  • 标题:Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures
  • 本地全文:下载
  • 作者:Yewon Lee ; Hyun Gon Choi ; Dong Hyeok Shin
  • 期刊名称:Archives of Plastic Surgery
  • 印刷版ISSN:2234-6163
  • 出版年度:2014
  • 卷号:41
  • 期号:6
  • 页码:679-685
  • DOI:10.5999/aps.2014.41.6.679
  • 语种:English
  • 出版社:The Korean Society of Plastic and Reconstructive Surgeons
  • 摘要:

    Background Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. Methods Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws. Results Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed. Conclusions The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.

  • 关键词:Surgical procedures, minimally invasive; Fracture fixation, internal; Frontal sinus
国家哲学社会科学文献中心版权所有