Management of Frontal Sinus Fractures at a Level 1 Trauma Center: Retrospective Study and Review of the Literature.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Kimberly Oslin, Meryam Shikara, Joshua Yoon, Pharibe Pope, Kelly Bridgham, Suneet Waghmarae, Andrea Hebert, Fan Liang, Kalpesh Vakharia, Natalie Justicz
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引用次数: 0

Abstract

Study design: Case series.

Objective: This retrospective review of frontal sinus fractures aims to describe our current experience managing these fractures at an urban level I trauma center.

Methods: An institutional database of 2081 patients who presented with maxillofacial fractures on computed tomography face/sinus in 2019 was queried for all patients with traumatic frontal sinus fractures. Demographics, trauma-related history, management approach, and follow-up data were collected and analyzed.

Results: Sixty-three (7.3%) patients had at least one fracture involving the frontal sinus. The most common etiologies were assaults, falls, and motor vehicle accidents. Surgical repair was performed in 26.8% of patients with frontal sinus fractures, and the other 73.2% were observed. Fractures that were displaced, comminuted, obstructive of the frontal sinus outflow tract, or associated with a dural tear or cerebrospinal fluid leak were more likely to be operative.

Conclusions: The majority of frontal sinus fractures in this study were treated with observation. Despite advances in transnasal endoscopic approaches, many surgeons still rely on open approaches to repair frontal sinus fractures.

一级创伤中心额窦骨折的处理:回顾性研究和文献综述。
研究设计病例系列:这篇额窦骨折的回顾性综述旨在描述我们目前在城市一级创伤中心处理这些骨折的经验:方法:在机构数据库中查询了2019年在计算机断层扫描脸部/窦颌面骨折的2081名患者,以了解所有创伤性额窦骨折患者的情况。结果:63名(7.3%)患者至少有一处涉及额窦的骨折。最常见的病因是袭击、跌倒和机动车事故。26.8%的额窦骨折患者接受了手术修复,73.2%的患者接受了观察。骨折移位、粉碎、阻塞额窦流出道或伴有硬脑膜撕裂或脑脊液漏者更有可能进行手术:结论:本研究中的大多数额窦骨折患者都接受了观察治疗。尽管经鼻内窥镜方法取得了进步,但许多外科医生仍依赖开放式方法修复额窦骨折。
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
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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