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Compound frontal sinus injuries with intracranial penetration
The Laryngoscope
|February 1, 1978
Summary
This study presents a novel surgical technique for forehead trauma, preserving the anterior frontal sinus wall to protect the brain and maintain cosmetic profile. Two patients showed excellent results with no infection or bone absorption after two years.
Area of Science:
- Neurosurgery
- Plastic Surgery
- Trauma Surgery
Background:
- Traditional treatment for extensive forehead trauma with frontal sinus and frontal lobe involvement is frontal sinus ablation.
- Frontal sinus ablation, while effective in eliminating dead space, results in forehead depression and inadequate brain protection.
Observation:
- The study was inspired by successful techniques for compound depressed skull fractures.
- A modified approach preserving the anterior frontal sinus wall was attempted for penetrating frontal sinus injuries.
Findings:
- The modified technique successfully protected the frontal lobes of the brain.
- Excellent forehead profile preservation was achieved in two patients.
- No evidence of bone absorption or infection was observed during a two-year follow-up.
Implications:
- This approach offers a viable alternative to frontal sinus ablation for penetrating frontal sinus injuries.
- It addresses both functional (brain protection) and cosmetic concerns.
- Further research may validate this technique for broader clinical application in traumatic brain injuries involving the frontal sinus.