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https://www.readbyqxmd.com/read/28210407/a-single-center-review-of-radiologically-diagnosed-maxillofacial-fractures-etiology-and-distribution
#1
Jordan N Halsey, Ian C Hoppe, Mark S Granick, Edward S Lee
The etiology of fractures of the maxillofacial skeleton varies among studies, with motor vehicle accidents and assaults oftentimes the most common. The number of males outnumbers females throughout most studies. Fractures of the zygoma, orbit, and mandible are usually cited as most common fracture types. This study examines a single center's experience with regards to etiology and distribution of fractures. A retrospective review of all radiologically confirmed facial fractures in a level 1 trauma center in an urban environment was performed for the years 2000 to 2012...
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28207197/changing-the-surgical-dogma-in-frontal-sinus-trauma-transnasal-endoscopic-repair
#2
Jessica W Grayson, Hari Jeyarajan, Elisa A Illing, Do-Yeon Cho, Kristen O Riley, Bradford A Woodworth
BACKGROUND: Management of frontal sinus trauma includes coronal or direct open approaches through skin incisions to either ablate or obliterate the frontal sinus for posterior table fractures and openly reduce/internally fixate fractured anterior tables. The objective of this prospective case-series study was to evaluate outcomes of frontal sinus anterior and posterior table trauma using endoscopic techniques. METHODS: Prospective evaluation of patients undergoing surgery for frontal sinus fractures was performed...
February 16, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28163520/penetrating-anterior-skull-base-fracture-inflicted-by-a-cow-s-horn
#3
Adomas Bunevicius, Karolis Bareikis, Laimutis Kalasauskas, Arimantas Tamasauskas
Farm workers are at increased risk for animal-inflicted head injuries that are associated with significant morbidity and occasionally may be fatal. These injuries may cause permanent eye damage with or without concomitant skull base fracture. Here, we present a male farmer who suffered a cow attack that resulted in perforating orbital injury with comminuted frontobasal cranial fracture caused by a cow's horn. The next day, the patient developed nasal and orbital cerebrospinal fluid (CSF) leak. Computed Tomography cisternography revealed CSF leakage to frontal and maxillary sinuses...
December 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28152490/traumatic-tension-pneumocephalus-two-case-reports
#4
Abubaker Al-Aieb, Ruben Peralta, Mohammad Ellabib, Ayman El-Menyar, Hassan Al-Thani
INTRODUCTION: Traumatic pneumocephalus rarely evolves into tension pneumocephalus. It can be devastating if not recognized and treated promptly. CASE PRESENTATION: We presented two cases of post-traumatic tension pneumocephalus. A 30- year old male pedestrian hit by a car presented with right frontal bone fracture extending to right frontal sinuses. He developed pneumocephalus involving all ventricles and subdural space and extending down to foramen magnum with tight basal cistern...
January 18, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28152148/evaluation-of-a-minimally-disruptive-treatment-protocol-for-frontal-sinus-fractures
#5
Sapna A Patel, Angelique M Berens, Karthik Devarajan, Mark E Whipple, Kris S Moe
Importance: Despite common goals of frontal sinus fracture treatment (restoring forehead contour and creating a safe sinus), there remains significant variability in evaluation and treatment. Objective: To describe our experience with a minimally disruptive treatment protocol for the treatment of frontal sinus fractures. Design, Setting, and Participants: Analysis of prospectively collected data from 2010 through 2015 at a level 1 trauma center...
February 2, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28003917/frontal-mucocele-following-previous-facial-trauma-with-hardware-reconstruction
#6
Megan EuDaly, Chadd K Kraus
Mucoceles are cysts that can develop after facial bone fractures, especially those involving the frontal sinuses. Despite being rare, mucoceles can result in serious delayed sequelae. We present a case of a frontal mucocele that developed two years after extensive facial trauma following a motor vehicle crash (MVC) and review the emergency department (ED) evaluation and treatment of mucocele. Early recognition, appropriate imaging, and an interdisciplinary approach are essential for managing these rare sequelae of facial trauma...
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/27884480/subcutaneous-emphysema-after-vigorous-sneezing-in-the-setting-of-acute-frontal-sinusitis
#7
Scott Hirsch, Daniel Coelho, Theodore Schuman
INTRODUCTION: Subcutaneous emphysema [SCE] can develop due to traumatic, infectious, and spontaneous causes and usually localizes to the periorbital space. CASE: We present a case of an 18-year-old male with an 8-day history of migraine-like headaches followed by the acute onset of frontofacial swelling after vigorous sneezing. Radiologic and physical exam findings supported a diagnosis of frontofacial SCE in the setting of frontal sinusitis. DISCUSSION: A sneeze, although usually benign, causes a significant increase in intranasal pressure...
September 12, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27648398/neurosurgery-skull-base-craniofacial-trauma
#8
REVIEW
Paul J Donald
Much of craniofacial trauma involves the frontal sinuses. Because of its response to injury, the frontal sinus mucosa has an innate ability to develop mucoceles, and if infected, mucopyocoeles. This article presents a therapeutic algorithm for all forms of craniofacial trauma with concentration on the most severe injury-the through and through fracture and its surgical remediation.
October 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27345471/treatment-strategies-for-frontal-sinus-anterior-table-fractures-and-contour-deformities
#9
REVIEW
Sean W Delaney
Anterior table frontal sinus fractures can result in aesthetically displeasing contour deformities. Acute anterior table frontal sinus fractures that are depressed may be reduced with an open, closed, or endoscope-assisted approach. Delayed contour deformity camouflage can be achieved using bone grafts, titanium meshes, methyl methacrylate, hydroxyapatite cement, and polyether ether ketone implants. The selection of surgical approach to repair a frontal sinus contour deformity depends on the fracture severity, chronicity, complexity, patient comorbidities, and surgeon preference and experience...
August 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27285896/reconstruction-of-frontal-bone-with-custom-made-prosthesis-using-rapid-prototyping
#10
Vinícius Gabriel Barros Florentino, Diego Santiago de Mendonça, Ariel Valente Bezerra, Leonardo de Freitas Silva, Rafael Figueirêdo Pontes, Carlos Vinícius Mota de Melo, Manoel de Jesus Rodrigues Mello, Andréa Silvia Walter de Aguiar
Frontal bone fracture treatment is still an issue of research in craniofacial surgery and neurosurgery. The aims of the treatment are to reduce the complication risks and to keep the aesthetic of the face. Before the management of this fracture type, it is necessary to consider the permanence or not of the frontal sinus function. Rapid prototyping has been an aid tool on planning and simulation of the surgical procedure, improving the diagnostic quality and the implant manufacture, beyond reducing the operative time...
June 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27266977/outcomes-of-treatment-of-fractures-of-the-frontal-sinus-review-from-a-tertiary-multispecialty-craniofacial-trauma-service
#11
Soudeh Chegini, Niamh Gallighan, Niall Mcleod, Rufus Corkill, Stana Bojanic, Stewart Griffiths, Daljit Dhariwal
There are no agreed national guidelines for the treatment of fractures of the frontal sinus and the naso-orbitoethmoid complex. The Oxford University Hospitals Craniofacial Trauma unit was set up five years ago as a joint oral and maxillofacial, ENT, and neurosurgical service, and we present our experience to date in the treatment of patients with such fractures. The study includes 91 patients with data collected from a prospective database. Patients underwent cranialisation if they met the criteria of persistent leak of cerebrospinal fluid (CSF), displaced fracture of the posterior wall or obstruction of the nasofrontal outflow tract...
September 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27196081/traumatic-intra-sphenoidal-pseudoaneurysm-lodged-inside-the-fractured-sphenoidal-sinus
#12
P Pelliccia, M Bartolomeo, G Iannetti, A Bonafé, M Makeieff
We describe a case of traumatic intra-sphenoidal right internal carotid artery pseudoaneurysm lodged inside the fractured sphenoidal sinus that developed in a patient with a previous history of frontal and skull base fractures involving the sphenoid sinus and walls of the carotid canal, but with normal intracranial findings at early CT angiography. The patient presented two episodes of massive life-threatening delayed epistaxis before successful endovascular treatment combining the use of coils and an uncovered stent was instituted...
April 2016: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27157631/an-aesthetic-approach-in-the-repair-of-anterior-frontal-sinus-fractures
#13
T Fattahi, S Salman
The management of upper facial trauma is a common responsibility of surgeons taking care of maxillofacial injuries. Historically, the most commonly used surgical approach has been the bi-temporal (coronal) incision. As is well known, the coronal incision carries some inherent complications such as hair loss, long scars, and increased length of hospital stay. The purpose of this article is to describe an aesthetic approach, similar to an endoscopic brow lift, for the repair of anterior wall fractures of the frontal sinus without the need for long incisions or fixation devices...
September 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26958980/facial-subcutaneous-emphysema-of-late-onset-after-frontal-sinus-fracture
#14
Andreia Filipa Miranda Mota, Virgínia Machado, Sofia Peças, Alexandra Emílio, Eduarda Marisa Vicente
No abstract text is available yet for this article.
March 8, 2016: Einstein
https://www.readbyqxmd.com/read/26884361/an-analysis-of-adverse-event-reporting-in-balloon-sinus-procedures
#15
Anthony Prince, Neil Bhattacharyya
OBJECTIVE: (1) Become familiar with reported adverse events related to balloon dilation of the paranasal sinus ostia. (2) Understand the sequelae occurring with these events. STUDY DESIGN: Retrospective analysis of a prospective database. SETTING: OpenFDA database. SUBJECTS AND METHODS: The OpenFDA program website of the Food and Drug Administration was queried with the Application Program Interface query system for medical device adverse events involving balloon devices for the dilation of paranasal sinus ostia from January 2006 through December 2014...
April 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26872283/comminuted-frontal-sinus-fracture-reconstructed-with-titanium-mesh
#16
Muhammed Sedat Sakat, Korhan Kilic, Enver Altas, Mustafa Sitki Gozeler, Harun Ucuncu
Frontal sinus fractures (FSF) are relatively uncommon maxillofacial injuries. The most common cause of FSF is motor vehicle accidents with 62% percentage. Management of FSF depends on type of fracture, associated injuries, and involvement of naso-frontal duct. In this report, the authors presented a patient with comminuted fracture of anterior wall of frontal sinus reconstructed with titanium mesh. A 40-year-old man presented with depression of the frontal bone, facial pain, and epistaxis consisting of a motor vehicle accident...
March 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26622335/brainstem-edema-caused-by-traumatic-carotid-cavernous-fistula-a-case-report-and-review-of-the-literature
#17
Jinlu Yu, Yunbao Guo, Shujie Zhao, Kan Xu
Brainstem edema caused by traumatic carotid-cavernous fistula (TCCF) is rare, and there is little information available regarding its clinical characteristics. The present report describes the case of a 51-year-old man with TCCF, who presented with right exophthalmos and intracranial bruit for 1 week. One month prior to admission at hospital, he fractured the frontal and ethmoid sinuses. Digital subtraction angiography confirmed the diagnosis of TCCF, and magnetic resonance imaging (MRI) suggested edema on the right side of the pons...
August 2015: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/26536715/-a-case-of-proptosis-by-traumatic-delayed-meningo-encephalocele
#18
Ming Shi, Xue Gao, Mei Zhao
A case of traumatic delayed meningo-encephalocele suffered orbital fracture, but bony defects in frontal sinus had not been found on CT scanning. We treated the patient with surgery of intranasal endoscopy and repaired the skull base defect successfully during the first attempt. There was no recurrence in 10 months followed up. The leak site may not correlate with imaging in traumatic delayed meningo-encephalocele by comparing operative findings with the imaging estimate and endoscopy. Therefore, endoscopical approaching is effective in seeking and treatment...
June 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/26491680/are-biodegradable-osteosyntheses-still-an-option-for-midface-trauma-longitudinal-evaluation-of-three-different-pla-based-materials
#19
Andreas Kolk, Robert Köhnke, Christoph H Saely, Oliver Ploder
The aim was to evaluate three different biodegradable polylactic acid- (PLA-) based osteosynthesis materials (OM). These OM (BioSorb, LactoSorb, and Delta) were used in 64 patients of whom 55 (85.9%) had fractures of the zygoma, five (7.8%) in the LeFort II level, two of the frontal bone (3.1%), and two of the maxillary sinus wall (3.1%). In addition to routine follow-up (FU) at 3, 6, and 12 months (m) (T1, T2, and T3) all patients were finally evaluated at a mean FU after 14.1 m for minor (e.g., nerve disturbances, swelling, and pain) and major (e...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26473788/extensive-traumatic-anterior-skull-base-fractures-with-cerebrospinal-fluid-leak-classification-and-repair-techniques-using-combined-vascularized-tissue-flaps
#20
Jacob B Archer, Hai Sun, Phillip A Bonney, Yan Daniel Zhao, Jared C Hiebert, Jose A Sanclement, Andrew S Little, Michael E Sughrue, Nicholas Theodore, Jeffrey James, Sam Safavi-Abbasi
OBJECTIVE: This article introduces a classification scheme for extensive traumatic anterior skull base fracture to help stratify surgical treatment options. The authors describe their multilayer repair technique for cerebrospinal fluid (CSF) leak resulting from extensive anterior skull base fracture using a combination of laterally pediculated temporalis fascial-pericranial, nasoseptal-pericranial, and anterior pericranial flaps. METHODS: Retrospective chart review identified patients treated surgically between January 2004 and May 2014 for anterior skull base fractures with CSF fistulas...
March 2016: Journal of Neurosurgery
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