Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus

Mabika Bredel Djeri Djor, N. Lysette, Aziz Zakaria, Garango Allaye, E. Mohamed, M. Hattab
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引用次数: 1

Abstract

Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.
额窦骨折的合适通路和手术入路
额窦骨折是面颅交界骨折的一部分。它们不仅会造成美学和生命问题,而且还会造成功能问题,需要在多学科环境中进行快速和全面的护理。该文件提供了一项描述性和横断面研究,前瞻性数据收集,在马拉喀什Mohammed 6教学医院颌面美容外科进行,描述了2年内18例额窦骨折手术。理想的修复时间超过72小时,最好在脑和面部水肿减轻并排除任何需要紧急干预的病变后的第8天至第15天。我们的适应证主要是影响美观性畸形、有临床表现的筛骨和眶顶嵌塞和尴尬性骨折、鼻额管阻塞、预测硬脑膜撕裂的后壁位移和治疗时间。冠状入路最适合,占83.3%。鼻窦排除率为72.22%,开颅率为22.77%,硬脑膜损伤修复率为27.77%。后遗症占27.77%,主要是功能性和美观性。
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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