Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures
Archives of Plastic Surgery
;
: 679-685, 2014.
Article
in English
| WPRIM
| ID: wpr-203557
ABSTRACT
BACKGROUND:
Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures.METHODS:
Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws.RESULTS:
Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed.CONCLUSIONS:
The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Paresthesia
/
Congenital Abnormalities
/
Brain Injuries
/
Follow-Up Studies
/
Cicatrix
/
Patient Satisfaction
/
Minimally Invasive Surgical Procedures
/
Fracture Fixation, Internal
/
Frontal Bone
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2014
Type:
Article
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