Reduction of Closed Frontal Sinus Fractures through Suprabrow Approach
Archives of Craniofacial Surgery
;
: 230-237, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-224990
ABSTRACT
BACKGROUND:
The traditional approach for reduction of frontal sinus fractures is coronal incision. Inherent complications of the coronal approach include long scar, hair loss, and long operation time. We describe a simple approach for the reduction of frontal sinus anterior wall fractures using a suprabrow incision that is commonly used for brow lift.METHODS:
From March 2007 to October 2016, the authors identified patients with anterior wall frontal sinus fractures treated by open reduction through a suprabrow incision. Only cases with photographic/radiographic documentation and a minimum follow-up of 6 months were included. The incision line was designed to be at the upper margin of the eyebrow. Medical records and radiographic data were retrospectively reviewed. Surgical outcomes, cosmetic results, and complication were assessed. The patient scale of the patient and observer scar assessment scale was used to assess patient satisfaction for incisional scar at the 6-month follow-up.RESULTS:
Thirty-one patients underwent fracture reduction through a suprabrow approach during the study period, with a mean follow-up of 41 months. No patients showed any recurrent displacement, eyebrow asymmetry, or infection during follow-up. Thirteen patients reported their forehead paresthesia postoperatively, and 12 of them had preoperative symptom. One patient complained of incisional scar and underwent scar revision. All patients were satisfied with their eyebrow and forehead contour.CONCLUSION:
The suprabrow approach allowed for an accurate reduction of the fractures in the anterior wall frontal sinus by providing direct visualization of the fracture. This transcutaneous approach can effectively restore forehead contour with acceptable postoperative complications and patient satisfaction.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Parestesia
/
Complicações Pós-Operatórias
/
Fraturas Cranianas
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Seguimentos
/
Cicatriz
/
Satisfação do Paciente
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Sobrancelhas
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Archives of Craniofacial Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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