Possible complications of frontal sinus fractures after conservative or surgical treatment: retrospective study.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-02-01 DOI:10.1080/00016489.2025.2454481

Júlia Belobradová, Arnošt Onderka, Juraj Timkovič, Viktoria Hranková, Štefan Reguli, Adéla Kondé, Rudolf Karas, Jiří Stránský, Jan Štembírek, Claretta Bianchi

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引用次数: 0

Abstract

Background: Frontal sinus fractures are rare. Although they can manifest as isolated fractures, they mostly occur as a part of larger panfacial injuries of the facial bones.

Objective: Considering the relative rarity of this type of fracture, we decided to perform a retrospective analysis of patients with this type of injury at our institution, focusing on post-injury complications.

Material and methods: We retrospectively evaluated 26 patients with frontal sinus fracture (isolated or as a part of a complex injury to the facial skeleton) treated and subsequently followed up at our institution between 2016 and 2022.

Results: The most common complication was trigeminal nerve hypersensitivity, occurring in 7 patients (47% of patients with any complication). All patients with this complication were treated conservatively. Four patients developed cerebrospinal fluid leak, of which three were treated conservatively and one surgically. Four more patients developed a deformity, of which 3 patients underwent surgery and one was treated conservatively.

Conclusion and significance: The therapeutic goal is to restore the conditions of the mucosa and to preserve the drainage of the frontal sinus.

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额窦骨折保守或手术治疗后可能出现的并发症：回顾性研究。

背景：额窦骨折是罕见的。虽然它们可以表现为孤立的骨折，但它们大多是作为更大的面部全面骨损伤的一部分发生的。目的：考虑到这类骨折相对罕见，我们决定对我院这类损伤患者进行回顾性分析，重点关注损伤后并发症。材料和方法：我们回顾性评估了2016年至2022年在我们机构治疗并随后随访的26例额窦骨折患者（单独或作为面部骨骼复杂损伤的一部分）。结果：最常见的并发症是三叉神经过敏，7例（占并发症的47%）。所有出现该并发症的患者均予以保守治疗。4例患者出现脑脊液漏，其中3例采用保守治疗，1例采用手术治疗。另有4例患者出现畸形，其中3例接受手术治疗，1例接受保守治疗。结论及意义：恢复额窦黏膜状态，保持额窦引流是治疗的目的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.