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https://www.readbyqxmd.com/read/27884480/subcutaneous-emphysema-after-vigorous-sneezing-in-the-setting-of-acute-frontal-sinusitis
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/26434078/endoscopic-assisted-trephination-approach-for-repair-of-frontal-sinus-posterior-wall-fracture-in-a-child
#15
Luis A Tarrats, Carlos Torre-León, Gustavo Almodóvar, Juan C Portela
A 9 year-old male sustained multiple maxillofacial fractures after falling from a two-store building. Frontal sinuses suffered a bilateral non-displaced linear fractures extending into the anterior and posterior walls. Magnetic resonance imaging (MRI) at this time showed a small encephalocele extending into the right frontal sinus. Operative repair was performed using an Endoscopic-Assisted Trephination approach.
April 2015: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/26392917/surgical-management-of-traumatic-frontal-sinus-fractures-case-series-from-a-single-institution-and-literature-review
#16
Vijay M Ravindra, Jayson A Neil, Lubdha M Shah, Richard H Schmidt, Erica F Bisson
BACKGROUND: Neurosurgeons are frequently involved in the management of patients with traumatic frontal sinus injury; however, management options and operative techniques can vary significantly. In this study, the authors review the current literature and retrospectively review the clinical series at a single tertiary referral center. METHODS: After Institutional Review Board approval, the medical records and computed tomographic (CT) imaging of patients whose traumatic frontal sinus fractures were treated surgically at the University of Utah were retrospectively reviewed...
2015: Surgical Neurology International
https://www.readbyqxmd.com/read/26358355/outside-in-frontal-drill-out-how-i-do-it
#17
Anna Knisely, Henry P Barham, Richard J Harvey, Raymond Sacks
BACKGROUND: The Draf 3 frontal sinusotomy, or modified Lothrop procedure has been used to treat recalcitrant rhinosinusitis, frontal sinus mucocoeles or to provide access for cerebrospinal fluid leaks, frontoethmoid fractures, frontal sinus tumors and skull base tumors. OBJECTIVE: To describe authors approach to the "Outside-In Frontal Drill-Out". METHODS: Descriptive. RESULTS: The "Outside-In" frontal drill-out is an approach that emphasizes the early identification of the first olfactory neuron, maximization of bone removal, and preservation of the posterior table mucosa...
September 2015: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/26309437/spontaneous-recovery-of-post-traumatic-cerebrospinal-fluid-rhinorrhea-following-meningitis-a-case-report
#18
Veli Citisli, Murat Kocaoglu, Ceyda Necan, Muhammet İbrahimoglu, Özkan Celiker, Eyüp Baykara, Mevci Ozdemir, Feridun Acar, Mehmet Erdal Coskun
The aim of the present report was to present the patient with an anterior cranial base fracture who developed post-traumatic cerebrospinal fluid rhinorrhea, which recovered after onset of meningitis complication. A 26-year-old male patient who had a traffic accident one week ago was sent to our clinic because of his rhinorrhea persisting for 4 days. On cranial computed tomography, fracture of the left frontal skull base and sinus walls, a fracture line on temporal bone, parenchymal bleeding in the vicinity of the frontal sinus, subarachnoidal bleeding and left temporal extradural hematoma were detected...
April 2015: International Journal of Health Sciences
https://www.readbyqxmd.com/read/26232884/spontaneous-ventilation-of-the-frontal-sinus-after-fractures-involving-the-frontal-recess
#19
Aria Jafari, Brian A Nuyen, Courtni R Salinas, Alan M Smith, Adam S DeConde
PURPOSE: Frontal sinus fractures (FSF) have potentially catastrophic consequences due to frontal recess (FR) obstruction and proximity to the brain and orbit. Lack of follow-up and ability to predict which type of fractures predispose to complications has biased surgeons toward definitive interventions such as sinus obliteration and cranialization. These procedures carry inherent risk and may be unnecessary in a subset of patients. This study seeks to better characterize spontaneous ventilation in subjects with FSFs, including those involving the FR...
November 2015: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/25860490/-trauma-of-the-midface
#20
REVIEW
T S Kühnel, T E Reichert
Fractures of the midface pose a serious medical problem as for their complexity, frequency and their socio-economic impact. Interdisciplinary approaches and up-to-date diagnostic and surgical techniques provide favorable results in the majority of cases though. Traffic accidents are the leading cause and male adults in their thirties are affected most often. Treatment algorithms for nasal bone fractures, maxillary and zygoma fractures are widely agreed upon whereas trauma to the frontal sinus and the orbital apex are matter of current debate...
March 2015: Laryngo- Rhino- Otologie
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