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Small Incision and Dual-Top Screws for Treatment of Simple Depressed Anterior Frontal Sinus Fractures  

Moon, Suk Ho (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Oh, Deuk Young (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Seo, Byung Chul (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Rhie, Jong Won (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Ahn, Sang Tae (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
Publication Information
Archives of Plastic Surgery / v.35, no.3, 2008 , pp. 345-348 More about this Journal
Abstract
Purpose: Fracture of the frontal sinus accounts for 5-15% of all facial fractures. Only anterior table fracture occupies one third of the frontal sinus fracture. Conventional coronal approach is the standard treatment, but this method is very aggressive, especially in patient with simple, depressed, anterior frontal sinus wall fracture. We introduce new, simple technique for these patients, using small incision and Dual-top screws. Methods: A 27-year-old male patient was introduced to our department under the impression of fracture of frontal sinus, involving only anterior table. Under general anesthesia, 1.5 cm-sized, small incision was made on the suprabrow area. We reduced fractured fragment with two dual-top screws and 25G wires. Fixation was not necessary Results: The operation took about forty minutes, and the patient discharged 2 days after the operation. Postoperative 2 months follow up CT shows maintenance of reduction site. Gross depression of the forehead and visible scar was not observed. Conclusion: Although the indication of this procedure is limited, less aggressive, simple and very effective to the patient with simple. depressed, anterior frontal sinus fracture.
Keywords
Frontal sinus fracture; Dual-top screw; Small incision;
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1 Swinson BD, Jerjes W, Thompson G: Current practice in the management of frontal sinus fractures. J Laryngol Otol 118: 927, 2004
2 Tiwari P, Higuera S, Thornton J, Hollier LH: The management of frontal sinus fractures. J Oral Maxillofac Surg 63: 1354, 2005   DOI   ScienceOn
3 Steiger JD, Chiu AG, Francis DO, Palmer JN: Endoscopic-assisted reduction of anterior table frontal sinus fractures. Laryngoscope 116: 1978, 2006   DOI   ScienceOn
4 Mavili ME, Canter HI: Closed treatment of frontal sinus fracture with percutaneous screw reduction. J Craniofac Surg 18: 415, 2007   DOI   ScienceOn
5 Piccolino P, Vetrano S, Mundula P, Di Lella G, Tedaldi M, Poladas G: Frontal bone fractures: new technique of closed reduction. J Craniofac Surg 18: 695, 2007   DOI   ScienceOn
6 Chen KT, Chen CT, Mardini S, Tsay PK, Chen YR: Frontal sinus fractures: a treatment algorithm and assessment of outcomes based on 78 clinical cases. Plast Reconstr Surg 118: 457, 2006   DOI   ScienceOn
7 Chen DJ, Chen CT, Chen YR, Feng GM: Endoscopically assisted repair of frontal sinus fracture. J Trauma 55: 378, 2003   DOI   ScienceOn
8 Strong EB, Pahlavan N, Saito D: Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg 135: 774, 2006   DOI