• 대한수의사회지
• /
• 제15권8호
• /
• pp.463-466
• /
• 1979

In treatment of empyema of frontal sinus in a dairy cow, modified trephing method was applied and aquired satisfactory drainage of pus and discharge from frontal sinus. Methods of trephing opening applied were as follows : 1. Site of trephing opening for

• 대한의사협회지
• /
• 제61권12호
• /
• pp.732-739
• /
• 2018

The frontal sinus is a functionally important structure. It serves as a cushioning buffer to protect the brain in cases of facial trauma. Fractures of the frontal sinus can lead to aesthetic problems by causing a visible depression in the center of the forehead. The goals of frontal sinus fracture treatment have been to protect intracranial structures and to prevent early and late complications, even with invasive methods. Recently, however, the goals have shifted to preservation of nasofrontal outflow tract function through close observation and the utilization of endoscopic procedures. Excellent cosmetic results can be achieved through minimally invasive surgery. This shift in goals took place due to the ease of diagnosis and treatment of early and late complications. Therefore, patients with a frontal sinus fracture should be followed up continuously to ensure that complications are detected promptly. Herein, the authors describe the methods and current trends of frontal sinus fracture treatment.

• 대한두개안면성형외과학회지
• /
• 제12권1호
• /
• pp.33-36
• /
• 2011

Background: In a frontal sinus reconstruction, the literature primarily recommends a surgical approach for definite treatment with the exception of for anterior wall fractures with no dislocation. Many studies have assessed a range of methods for the reduction of frontal sinus fractures. This paper presents a case, in whom the anterior wall of the frontal sinus was reconstructed using an outer table calvarial bone graft in an en bloc manner. Patient and methods: A 36-year-old male visited the emergency room with a heavy injury to the forehead. He was diagnosed with fractures of the anterior and posterior wall of the frontal sinus. The neurosurgeon removed the fractured area and repaired the meninges. Afterwards, cranialization was performed and the opening of the nasofrontal duct was obstructed. After fixing the removed bone to its original location, all fragments of fractured anterior wall were purged out and the anterior wall reconstructed using an en bloc calvarial bone graft. Results: In the post-operative 8 months period, there were no complications, the round contour of the forehead was expressed well and the patient was satisfied with the result. Conclusion: There are many methods for reconstructing the anterior wall of the frontal sinus. On the other hand, in cases of large fracture sites with many fractured bone fragments, en bloc harvesting of the outer table calvarial bone could be a better choice than making use of only plates and screws because this method shows a good results in terms of aesthetics with a low complication rate.

• 한국임상수의학회지
• /
• 제16권1호
• /
• pp.226-229
• /
• 1999

A 4-year old male Pitbull terrier dog was presented with a history of nasal discharge of left side and dyspnea for 3 days. This dog had a bitewound on the head due to dog-fighting two weeks ago. There was no abnomality except mild anemic sign on blood examination. Frontal projection of radiographs was taken. This was diagnosed as frontal sinusitis. After skin incision on frontal head, a silicone tube was inserted into the affected frontal sinus. Abscess of the frontal sinus was drainaged and irrigated with saline solution containing trypsin and cephazolin. This patient who also treated with enrofloxacin was recovered completely.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
• /
• pp.17.3-17
• /
• 1983

부비동내의 이물은 흔히 경험할 수 없는 것으로 그 발생원인은 총기 및 폭발물 사고, 교통 사고 등 외상성 사고로 인한 것과, 부비동 수술시 의료기구의 잔존에 의한 의인성 사고로 나눌 수 있다. 외상성 사고로 인한 부비동내 이물의 발생을 보면 상악동이 가장 흔한 것으로 되어 있고, 전두동, 사골동, 접형동 순으로 되어 있다. 최근 저자 등은 약 8년간의 비폐쇄증 및 농성비루를 주소로 내원하였던 환자에서 좌측 사골동내에 30여 년 이상 체류되었던 1 $\times$ 0.5cm 정도의 탄알파편을 경험하였기에 문헌적 고찰과 함께 보고하는 바이다.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1991년도 제25차 학술대회 연제순서 및 초록
• /
• pp.43-43
• /
• 1991

부비동 점액낭종은 주로 전두동과 사골동에 발생하며 점차 커져서 인접 기관에 영향을 미치기도 한다. 저자들은 1985년 1월부터 1991년 3월까지 충남대학교병원 이비인후과에서 부비동 점액낭종으로 수술받았던 15예를 대상으로 임상분석을 실시하여 다음과 같은 결과를 얻었다. 성별은 남자 6예 여자 9예였고, 연령은 17세에서 79세까지였으며 50대에서 5예로 가장 많았다. 병변부위로는 사골동에 국한된 경우가 7예로 가장 많았고, 전두동과 사골동을 동시에 침범한 경우가 4예, 전두동에 국한된 경우가 2예, 사골동과 접형동을 침범한 경우가 1례였다. 안증상은 11예에서 있었으며 그중 안구돌출이 7예로 가장 많았고, 시력감퇴 6예, 안구운동장애 4예 등이었다. 5예에서 두개저 파괴로 인한 경막의 노출이 있었다. 치료는 사골동 비외수술법이 7예로 가장 많았고, Lynch operation 4예, 골성형 전두동수술 2예, Lateral rhinotomy를 통한 배액 1예, Midfacial degloving approach를 통한 배액이 1예였다.

• 대한두개안면성형외과학회지
• /
• 제12권1호
• /
• pp.1-5
• /
• 2011

Purpose: The management of frontal sinus fractures and frontal sinus outflow tract (=FSOT) injuries is controversial. Traditional treatments include frontal sinus obliteration with a variety of material grafts, which all employ complicated algorithms for treatment planning. A simplified algorithm aiming for frontal sinus ventilation, however, can be achieved through the advanced technology of image guided endoscopic surgery and instruments. The authors explain this simplified treatment algorithm of frontal sinus fractures. Methods: The authors reviewed articles on the management of frontal sinus fractures. Results: Complicated treatment planning algorithms of frontal sinus fractures aiming for obliteration were replaced with a simplified algorithm aiming for ventilation of the frontal sinus. Conclusion: The authors suggest that a simplified algorithm can replace the complicated algorithms in selective cases.

• 대한두개안면성형외과학회지
• /
• 제10권2호
• /
• pp.103-108
• /
• 2009

Purpose: Although there are many reports on the development of paranasal sinuses, few studies were performed with respect to the frontal sinus with 3D CT, especially in Korean children. In this study, we evaluated the normal development of frontal sinus in Korean children with 3D CT imaging. Methods: A total of 301 patients under the age of 20 were reviewed retrospectively. Maximal AP (anteroposterior) length, height and width were measured with the aid of computer device. The volume of frontal sinus was also evaluated. Results: At the age of more than 4, the pneumatization of frontal sinus was detected. Frontal sinus developed continuously and was observed in almost every children at the age of more than 17. The AP length, height, width and volume of frontal sinus were enlarged continuously until the age of 20. And the maximal growth of frontal sinus was observed at puberty. The width and volume of frontal sinus showed high correlation coefficient (r=0.8) relative to height or AP distance. Conclusion: The results of this study may be helpful in the comprehension of normal development of frontal sinus in Korean children.

• Journal of Yeungnam Medical Science
• /
• 제8권1호
• /
• pp.127-135
• /
• 1991

성공적인 종이수술을 위하여 안전하고 효과적인 접착제가 필요하며, 합성 접착제의 독성작용 때문에 인체에서 추출한 접착제를 사용하게 되었다. Fibrin 접착제가 저장 혈액에서 체취되면 감염성 질환의 전염 위험성이 있지만 자가 fibrin 접착제를 사용하면 전염위험성이 없다. 저자들은 ammonium sulfate fibrin 접착제와 상품화된 fibrin 접착제의 접착력을 비교한 결과 ammonium sulfate fibrin 접착제의 접착력이 상품화된 fibrin 접착제의 반 정도의 접착력을 가지지만 그 정도의 접착력이면 고막재생술, 안면신경 봉합술, 이소골 재건술, 외이도 후벽재건술, 뼈가루를 이용한 전두동 및 유양동폐쇄술 등 이비인후과 수술에 사용하기엔 충분한 접착력이다.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
• /
• pp.13.3-13
• /
• 1981

이비인후과 영역에서 발생하는 골종은 아주 희소하나 부비동에서 발생하는 골종은 이 부위의 양성종양중 가장 많으며 전두동에서 가장 호발한다고 한다. 골종은 30대에서 가장 호발하며 조직학적으로 골수가 경성인것, 연성인것, 혼합형인것 등으로 분류할 수 있으며 발생원인으로는 간배세포 종양설, 외상설, 염증설 등이 있다. 최근, 저자들은 좌측 전두동의 거대한 골종으로 인해 안구돌출 및 안구하강을 동반한 44세의 남자환자에서 성형적 전두동 수술로 종양을 제거하고 그 결손부위를 지방조직으로 이식하여 좋은 결과를 얻었기에 문헌과 함께 보고하는 바이다.