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Percutaneous Screws and External Fixation in Frontal Sinus Anterior Wall Fractures
Muhammet Uraloğlu1, Alper Ural2, Murat Livaoğlu1
1Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Karadeniz Technical University.
The Journal of Craniofacial Surgery
|March 24, 2018
Summary
Frontal sinus fractures, often from accidents, lack a standard treatment. A minimally invasive technique using screws and a nasal splint offers effective fixation for suitable patients with these facial injuries.
Area of Science:
- Maxillofacial Surgery
- Trauma Surgery
- Otolaryngology
Background:
- Frontal sinus fractures are common maxillofacial injuries, frequently resulting from traffic accidents and sports.
- Optimal management strategies for frontal sinus fractures remain a subject of ongoing debate within the medical community.
Observation:
- The case involves a patient with a depressed anterior wall frontal sinus fracture and a concurrent superior orbital rim fracture.
- The described injury pattern necessitates careful surgical consideration for both aesthetic and functional outcomes.
Findings:
- A minimally invasive reduction technique was employed, utilizing percutaneous screws for traction on depressed fragments.
- External fixation was achieved using an aluminum nasal splint, providing stable repositioning of the fractured bone segments.
Implications:
- This traction and splinting method presents a potentially effective and minimally invasive approach for managing specific types of frontal sinus fractures.
- The technique's suitability for patients with suitable fracture patterns suggests a valuable addition to the surgical armamentarium for facial trauma.
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