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

被引：0

作者：

Belobradova, Julia ^{[1
]}

Onderka, Arnost ^{[1
,2
]}

Timkovic, Juraj ^{[2
,3
]}

Hrankova, Viktoria ^{[2
,4
]}

Reguli, Stefan ^{[5
]}

Konde, Adela ^{[6
,7
]}

Karas, Rudolf ^{[8
]}

Stransky, Jiri ^{[1
]}

Stembirek, Jan ^{[1
,2
,9
]}

Bianchi, Claretta ^{[1
,10
]}

机构：

[1] Univ Hosp Ostrava, Clin Oral & Maxillofacial Surg, Ostrava 70852, Czech Republic

[2] Univ Ostrava, Fac Med, Dept Craniofacial Surg, Ostrava, Czech Republic

[3] Univ Hosp Ostrava, Clin Ophthalmol, Ostrava, Czech Republic

[4] Univ Hosp Ostrava, Clin Otorhinolaryngol & Head & Neck Surg, Ostrava, Czech Republic

[5] Univ Hosp Ostrava, Clin Neurosurg, Ostrava, Czech Republic

[6] VSB Tech Univ Ostrava, Fac Elect Engn & Comp Sci, Dept Appl Math, Ostrava, Czech Republic

[7] Univ Hosp Ostrava, Dept Deputy Director Sci & Res, Ostrava, Czech Republic

[8] Univ Hosp Ostrava, Inst Radiol, Ostrava, Czech Republic

[9] Czech Acad Sci, Inst Anim Physiol & Genet, Lab Mol Morphogenesis, Brno, Czech Republic

[10] Univ Ostrava, Fac Med, Ctr Hlth Res, Ostrava 70300, Czech Republic

来源：

ACTA OTO-LARYNGOLOGICA | 2025年 / 145卷 / 03期

关键词：

Frontal sinus; skull fractures; treatment; complications; BRAIN-INJURY PATIENT; 10-YEAR ANALYSIS;

D O I：

10.1080/00016489.2025.2454481

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundFrontal 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.ObjectiveConsidering 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 methodsWe 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.ResultsThe 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 significanceThe therapeutic goal is to restore the conditions of the mucosa and to preserve the drainage of the frontal sinus. (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) 2016 (sic)(sic) 2022 (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) 26 (sic)(sic)(sic)(sic)(sic)(sic)(sic)((sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic) 7 (sic)(sic)(sic)(sic)(sic)((sic)(sic)(sic)(sic)(sic)(sic)(sic) 47%).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic) 4 (sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic) 3 (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), 1 (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).

引用

页码：229 / 233

页数：5

共 14 条

[1] Frontal Sinus Fractures: Evolving Clinical Considerations and Surgical Approaches
Arnold, Mark A.
Tatum, Sherard A., III
[J]. CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION, 2019, 12 (02) : 85 - 94
[2] Banica Bogdan, 2013, Maedica (Bucur), V8, P398
[3] El-Anwar MW., 2020, Pan Arab J Rhinol, V10, P89, DOI [10.4103/pajr.pajr720, DOI 10.4103/PAJR.PAJR720]
[4] Management of frontal sinus fractures: A review of 33 cases
Gonty, AA
Marciani, RD
Adornato, DC
[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1999, 57 (04) : 372 - 379
[5] Hirjak D, 2013, Traumatolgia skeletu tvre, Zlomeniny frontlnej kosti, 1st ed. Traumatology of facial skeleton, frontal bone fractures, P125
[6] Jeyaraj Priya, 2019, Ann Maxillofac Surg, V9, P261, DOI 10.4103/ams.ams_151_19
[7] Frontal Sinus Fractures: Management and Complications
Jing, Xi Lin
Luce, Edward
[J]. CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION, 2019, 12 (03) : 241 - 247
[8] Lofgren DH., 2022, Frontal sinus fractures
[9] Complications of Frontal Sinus Fractures
Metzinger, Stephen E.
Metzinger, Rebecca C.
[J]. CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION, 2009, 2 (01) : 27 - 34
[10] Frontal Sinus Development and Juvenile Age Estimation
Moore, Kaitlin
Ross, Ann
[J]. ANATOMICAL RECORD-ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY, 2017, 300 (09): : 1609 - 1617

← 1 2 →