New Surgical Devices for Closed Reduction of Frontal Sinus Bone Fracture

Traditional surgical interventions for frontal sinus fractures necessitate a cut on the forehead skin, and extant closed reduction techniques aimed at enhancing accessibility continue to grapple with secure tool fixation, stable bone elevation, and screw breakage risk. To address these challenges and augment surgical efficiency, this study introduces novel surgical devices. Design parameters for models with spiral or L-shaped tips are established, considering practical medical requirements and constraints, and subsequently validated through finite element method numerical simulations using commercial software, Ansys. Four spiral-type prototypes are constructed, and three scenarios for each prototype, varying in projection distance from the device handle to the bone-device contact point, are examined via nonlinear simulation analyses. For the L-shaped type, three prototypes are developed, and static analyses are conducted for four scenarios per prototype, differing in traction force locations, based on another simulation result concerning moments of inertia calculation with a force boundary condition unlike pressure. Maximum stress results under a specific force are analyzed, and the maximum permissible force is determined under the most unfavorable force application condition. Simulation outcomes indicate that the spiral type offers greater applicability with less force to lift multiple bones, while the L-shaped type is more suitable under bone hardening conditions.