SCIENTIFIC-PRACTICAL JOURNAL

| укр | рус |

 

 


No1(2) 2019

Back to the issue


DOI 10.37219/2528-8253-2019-1-66

Bondarchuk OD
Fractures of the walls of the frontal sinus: criteria for choosing the tactics of surgical treatment and indications for obliteration
Bondarchuk, Oleksandr D.
Mykola Pyrohov Vinnytsia Regional Hospital, Vinnytsia, Ukraine
E-mail: eskulap20009@gmail.com

Abstract

Treatment of fractures of the walls of the frontal sinus complicates the presence of intracranial pathology.
The main goals of surgical treatment of such states are: protection of intracranial structures, sealing of the cavity of the skull; prevention of early and late purulent-inflammatory complications; correction of aesthetically significant deformation and restoration of the shape of the frontal area. To determine the indications for frontal sinus obliteration (LP), it was necessary to detect changes to the operation that prevented it from being stored as an airborne cavity, or would make such an attempt "risk" for relapse. The main step in prevention of complications is the surgical removal of the mucous membrane and the closure of the mucus, therefore, the criterion for choosing surgical tactics for lesions of the foam-basal localization, and surrounding tissues is to determine the condition of the fronto-nasal constriction and its walls Failure to comply with these provisions will inevitably lead to complications in the postoperative period.

Keywords

frontal sinus, obliteration, frontal sinus fracture, transplant, removal of the mucous membrane, trauma of the frontal sinus.


Reference

  1. Danilevich MO. Surgical treatment of patients with craniofacial lesions [dissertation]. St. Petersburg; 1996.108 p. [In Russian].
  2. Konovalov AN, Potapov AA, Likhterman LB. [Surgery of the effects of traumatic brain injury]. Moscow; 2006. 352 p. [In Russian].
  3. Limberg AA, Danilevich MO, Lezhnev KK. Actual problems of optimizing specialized medical care for victims with combined cranio-facial trauma. Collection of scientific papers. St. Petersburg; 2002. P. 153-71. [In Russian].
  4. Gruss JS, Pollock RA, Phillips JH, Antonyshyn O. Combined injuries of cranium and face. Br J Plast Surg.
    1989 Jul;42(4):385-98.
  5. Holmgren EP, Dierks EJ, Homer LD, Potter BE. Facial computed tomography use in trauma patients who require a head computed tomogram. J Oral Maxillofac Surg. 2004 Aug; 62(8): 913-8.
  6. Luce EA. Frontal sinus fractures: guidelines to management. Plast Reconstr Surg. 1987 Oct;80(4):500-10.
    doi: 10.1097/00006534-198710000-00003.
  7. Manolidis S, Weeks BH, Kirby M, Scarlett M, Hollier L. Classification and surgical management of orbital fractures. J Craniofac Surg. 2002 Nov;13(6):726-37; discussion 738.
  8. Manson PN. Management of facial fractures. Perspect Plast Surg. 1988; 2(2):1-36.
  9. Meyer TK. Rhee J. Smith TL. Frontal sinus. Berlin, Heidelberg: Springer-Verlag; 2005. Chapter 16. Frontal sinus fractures;
    p. 133-42.
  10. Prein J, editors. Manual of Internal fixation in the cranio-facial sckeleton. Berlin, Heidelberg: Springer; 1998.
  11. Rodriguez ED, Stanwix MG, Nam AJ, St Hilaire H, Simmons OP, et al. Twenty-six-year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg. 2008 Dec;122(6):1850-66. doi: 10.1097/ PRS.0b013e31818d58ba.
  12. Rohrich RJ, Hollier LH. Management of frontal sinus fractures. Changing concepts. Clin Plast Surg. 1992 Jan;19(1):219-32.
  13. Scholsem M, Scholtes F, Collignon F, Robe P, Dubuisson A, et al. Surgical management of anterior cranial base fractures with cerebrospinal fluid fistulae: a single-institution experience. Neurosurgery. 2008 Feb;62(2):463-9; discussion 469-71.
    doi: 10.1227/01.neu.0000316014.97926.82.
 

© 2019, Public Organization «Ukrainian Scientific Medical Society of Otorhinolaryngologists»