Approach to Upper Maxillofacial Fractures

Daniel Murariu, Heather A. McMahon, Kant Y K Lin
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引用次数: 0

Abstract

Upper maxillofacial fractures primarily involve the frontal sinus. The paired frontal sinuses consist of an anterior table, a posterior table, and a frontonasal duct also known as the nasofrontal outflow tract (NFOT). Diagnosis of frontal sinus fractures is best done with a computed tomographic (CT) scan. Indications for repair of fractures of the frontal sinus depend on the location of the fracture, the degree of displacement of the fractures, and the patency of the NFOT. The three mainstays in fracture treatment are open reduction and internal fixation of anterior table fractures when there is no NFOT obstruction, which can be combined with obliteration and/or cranialization of the sinus with posterior table fractures in the presence of NFOT obstruction. Indications and surgical techniques will be reviewed along with some illustrative case examples.
上颌面骨折入路治疗
上颌面骨折主要累及额窦。成对的额窦包括前表、后表和额鼻管,也称为鼻额流出道(NFOT)。额窦骨折的诊断最好通过计算机断层扫描(CT)来完成。额窦骨折的修复指征取决于骨折的位置、骨折的移位程度和nfft的通畅程度。骨折治疗的三个主要支柱是在没有NFOT阻塞的情况下对前台骨折进行切开复位和内固定,在存在NFOT阻塞的情况下,可结合后台骨折窦闭塞和/或颅颅化。适应症和手术技术将与一些说明性的案例一起审查。
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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