Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures

Lee, Yewon; Choi, Hyun Gon; Shin, Dong Hyeok; Uhm, Ki Il; Kim, Soon Heum; Kim, Cheol Keun; Jo, Dong In

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자료유형: 학술저널

저자정보: Lee, Yewon (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine) Choi, Hyun Gon (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine) Shin, Dong Hyeok (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine) Uhm, Ki Il (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine) Kim, Soon Heum (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Kim, Cheol Keun (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine) Jo, Dong In (Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호

발행연도: 2014.1

수록면: 679 - 685 (7page)

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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.

#Surgical procedures, minimally invasive #Fracture fixation, internal #Frontal sinus

참고문헌 (24)

참고문헌 신청

Yavuzer R / 2005 / Management of frontal sinus fractures / Plast Reconstr Surg 115:79e~93e

Metzinger SE / 2005 / Frontal sinus fractures: management guidelines / Facial Plast Surg 21:199~206

Rohrich RJ / 1992 / Management of frontal sinus fractures. Changing concepts / Clin Plast Surg 19:219~232

Gossman DG / 2006 / Management of frontal sinus fractures: a review of 96 cases / Laryngoscope 116:1357~1362

Strong EB / 2003 / Endoscopic repair of isolated anterior table frontal sinus fractures / Arch Facial Plast Surg 5:514~521

이 논문의 저자 정보

Lee, Yewon

소속기관 Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk Universit

주요연구분야 의약학 > 임상의학 > 성형외과학

논문수 1 이용수 0

Choi, Hyun Gon