[Optimized interdisciplinary approach in the treatment of maxillary sinus upper wall fractures in children]

Rehabilitation of children with fractures of the upper wall of the maxillary sinus remains relevant due to the need for a balanced approach to treatment, which would take into account both the features of traumatic injuries in children and the specifics of their age development. The article describes a technique for combined (endoscopic transnasal and transconjunctival) surgical treatment of children with fractures of the upper wall of the maxillary sinus using a sinus balloon catheter.

To study the effectiveness and safety of the functional method of treating fractures of the upper wall of the maxillary sinus using endoscopic sinus surgery and a sinus balloon catheter.

The study included 106 children aged 5 to 17 years with fractures of the upper wall of the maxillary sinus who underwent surgical treatment at the Morozovskaya Children's City Clinical Hospital from 2018 to 2023. Treatment was administered to children with pronounced bone defects, combined injuries, and ophthalmological symptoms.

As a result of the treatment, all 106 children showed no hernial protrusions in the lumen of the maxillary sinus on control tomograms. There were no cases of decreased visual acuity or impaired eye movement function during follow-up by an ophthalmologist. Complete consolidation of bone fragments with restoration of the integrity of the sinus wall was achieved in 91.5% of patients; in the remaining 8.5% of cases, a bone defect in the upper wall of the maxillary sinus up to 1-2 mm in diameter was preserved according to CT data, which clinically did not manifest itself.

The proposed technique using a sinus balloon catheter is preferable for children with fractures of the upper wall of the maxillary sinus. Due to the functionality of access, absence of the need for endoprosthetics of the bone walls of the sinus and orbit, minimization of disruptions to the growth zones of the facial skeleton, and achieving good functional and cosmetic results.