Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Relationship between midfacial fractures and maxillary sinus pathology

  • Dong Wan Kim (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Soo Hyuk Lee (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Jun Ho Choi (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Jae Ha Hwang (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Kwang Seog Kim (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Sam Yong Lee (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
  • Received : 2023.06.08
  • Accepted : 2023.06.19
  • Published : 2023.06.20
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Abstract

Background: Midfacial fractures frequently involve the maxillary sinus, leading to maxillary sinus pathology. We aimed to examine the incidence and contributing factors of maxillary sinus pathology in patients who underwent open reduction and internal fixation (ORIF) for midfacial fractures. Methods: A retrospective analysis was conducted on patients who underwent ORIF for midfacial fractures at our department over the past 10 years. The incidence of maxillary sinus pathology was identified clinically and/or by computed tomography findings. Factors that significantly influenced the groups with and without maxillary sinus pathology were examined. Results: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was found to be 11.27%, with sinusitis being the most common pathology. Maxillary sinus pathology was significantly associated with the presence of a blowout fracture involving both the medial and the inferior orbital walls. Factors such as sex, age, diabetes mellitus, hypertension, smoking, inflammatory disease, follow-up period, use of absorbable plates, and use of titanium plates did not have a significant impact on the development of maxillary sinus pathology. Conclusion: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was relatively low, and in most cases, it resolved without the need for specific treatment. Consequently, there may not be a significant need for concern regarding postoperative maxillary sinus pathology.

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References

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