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https://www.readbyqxmd.com/read/29762325/endoscopy-assisted-frontal-sinus-obliteration
#1
Anna Maria Jaźwiec, Benjamin Rechner, Ewa Komorowska-Timek
Comminuted fractures of the anterior table of the frontal sinus involving frontonasal ducts are traditionally treated with sinus obliteration. This technique entails precise mucosa removal which requires unimpeded visualization of the bony recesses. To achieve adequate access to the mucosa, temporary removal of a large part of the frontal bone may often be necessary. This in turn increases fracture comminution requiring placement of additional hardware associated with the risk for bony malalignment, infection, plate palpability, and visibility, especially in thin-skin individuals...
May 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29754158/-a-phd-completed-midfacial-trauma-patients-in-amsterdam-an-epidemiological-survey
#2
E G Salentijn
A population of patients in Amsterdam with midfacial fractures was studied. Traffic accidents were found to be the most common cause, followed by violence and falls. The zygomatic complex was the most common fracture site. The majority of surgically treated patients consisted of men between 20 and 29 years of age. In addition to fracture displacement, indicative factors for surgery appear to be age, comorbidity and the presence or absence of functional problems. 8.1% of the surgically treated patients appear to have suffered brain damage...
May 2018: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/29697631/facial-fractures-pearls-and-perspectives
#3
Obaid Chaudhry, Matthew Isakson, Adam Franklin, Suhair Maqusi, Christian El Amm
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Describe the symptoms and cause of pseudo-Brown syndrome, describe the anatomy and placement of a buttress-spanning plate in nasoorbitoethmoid fractures, and identify appropriate nasal support alternatives for nasoorbitoethmoid fractures...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29688445/extrapolating-the-limits-of-the-nasoseptal-flap-with-pedicle-dissection-to-the-internal-maxillary-artery
#4
Carlos D Pinheiro-Neto, Maria Peris-Celda, Tyler Kenning
BACKGROUND: The nasoseptal flap is the main pedicled flap used for endoscopic cranial base reconstruction. For large anterior cranial base defects, the anterior edge is a concern for the nasoseptal flap reach. OBJECTIVE: To present a surgical technique that completely releases the vascular pedicle of the nasoseptal flap from the sphenopalatine artery (SPA) foramen improving considerably the reach of the flap. METHODS: A patient with left anterior cranial base fracture involving the posterior table of the frontal sinus, who presented with cerebrospinal fluid leak and contused brain herniation to the ethmoid and frontal sinuses...
April 24, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29570517/percutaneous-screws-and-external-fixation-in-frontal-sinus-anterior-wall-fractures
#5
Muhammet Uraloğlu, Alper Ural, Murat Livaoğlu, Naci Karaçal
Fractures of the frontal sinus are frequently encountered injuries of maxillofacial fractures. The most common causes are traffic accidents, followed by sports-related injuries. There is still no consensus regarding the optimal management of frontal sinus fractures. The authors report a patient with depressed anterior wall fracture of the frontal sinus and superior orbital rim fracture. Reduction was performed by traction from 2 screws applied percutaneously to the depressed fragments and external fixation with an aluminum nasal splint...
March 22, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29349046/reduction-of-closed-frontal-sinus-fractures-through-suprabrow-approach
#6
Hyung Min Hahn, Yoo Jung Lee, Myong Chul Park, Il Jae Lee, Sue Min Kim, Dong Ha Park
Background: The traditional approach for reduction of frontal sinus fractures is coronal incision. Inherent complications of the coronal approach include long scar, hair loss, and long operation time. We describe a simple approach for the reduction of frontal sinus anterior wall fractures using a suprabrow incision that is commonly used for brow lift. Methods: From March 2007 to October 2016, the authors identified patients with anterior wall frontal sinus fractures treated by open reduction through a suprabrow incision...
December 2017: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29315105/kitesurfing-and-cranial-trauma-with-frontal-sinus-fracture
#7
Jean-Baptiste Morvan, Damien Rivière, Loraine Vatin, Christophe Joubert, Francois Bousquet, Olivier Cathelinaud
No abstract text is available yet for this article.
January 2018: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/29304328/use-of-intraoperative-computed-tomography-in-craniomaxillofacial-trauma-surgery
#8
Karl Cuddy, Baber Khatib, R Bryan Bell, Allen Cheng, Ashish Patel, Melissa Amundson, Eric J Dierks
PURPOSE: The use of technology to aid in assessment, planning, and management of complex craniomaxillofacial injuries is increasingly common. Preoperative computed tomography (CT) evaluation is considered the standard of care, and intraoperative imaging is becoming increasingly accessible. Limited data exist regarding the implication of intraoperative CT on decision making in the management of all sites of facial fractures. The purposes of this study were to characterize the use of an intraoperative CT scanner for craniomaxillofacial surgery within our institution, to quantify the effect of intraoperative CT on surgical decision making, and to attempt to provide guidance on when to use this technology...
December 13, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29291388/how-do-le-fort-type-fractures-present-in-a-pediatric-cohort
#9
Alexandra Macmillan, Joseph Lopez, J D Luck, Muhammad Faateh, Paul Manson, Amir H Dorafshar
PURPOSE: Le Fort-type fractures are very rare in children, and there is a paucity of literature presenting their frequency and characteristics. The purpose of this study was to determine the etiology, frequency, and fracture patterns of children with severe facial trauma associated with pterygoid plate fractures in a pediatric cohort. PATIENTS AND METHODS: We performed a retrospective cohort study of all children aged younger than 16 years with pterygoid plate and facial fractures who presented to our institute between 1990 and 2010...
December 8, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29194270/trend-and-demographic-characteristics-of-maxillofacial-fractures-in-level-i-trauma-center
#10
Omri Emodi, Amir Wolff, Hanna Srouji, Hany Bahouth, Dani Noy, Imad Abu El Naaj, Adi Rachmiel
AIM: The aim of this study was to analyze the pattern and treatment of craniomaxillofacial injuries in the northern part of Israel, within a Jewish majority and large Arab minority population. PATIENTS AND METHODS: A 5-year retrospective study evaluated patients treated for craniomaxillofacial fractures. Fracture cause, type, site, and patient demographics were evaluated. RESULTS: Patient age ranged from 1 to 94 years with an average age of 36...
March 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29139152/giant-intracranial-arteriovenous-malformation-as-the-focus-of-epileptic-seizures
#11
Mio Takayama, Kenji Hara, Aya Matsusue, Brian Waters, Natsuki Ikematsu, Masayuki Kashiwagi, Shin-Ichi Kubo
A man in his late thirties was found in a supine position in the hallway of his house. He had been diagnosed with epilepsy at approximately 20 years old. Since stopping treatment, epileptic events occurred more frequently and his condition deteriorated in the past 2 years. Autopsy revealed that head injuries were found on the left side of his head. A fracture from the left parietal bone to the anterior cranial fossa was also detected. A subdural hemorrhage (hematoma) spanned a wide range. A subarachnoid hemorrhage was also identified in the left parietal region...
November 14, 2017: Neuropathology: Official Journal of the Japanese Society of Neuropathology
https://www.readbyqxmd.com/read/29049140/metopism-a-study-of-the-persistent-metopic-suture
#12
Matthew J Zdilla, Michelle L Russell, Aaron W Koons, Kaitlyn N Bliss, Kelsey R Mangus
Metopism, the persistence of the metopic suture in adulthood, is a clinically significant radiographic finding. In addition to masquerading as a fracture of the frontal bone, a persistent metopic suture may be associated with other clinically significant anatomical variations including frontal sinus abnormalities. Several geographically and craniofacially distinct populations have yet to be assessed for the prevalence of metopism. This study aimed to determine the prevalence of metopic sutures in adult crania of diverse populations among which scant research exists...
January 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29027868/posttraumatic-complications-in-pediatric-skull-fracture-dural-sinus-thrombosis-arterial-dissection-and-cerebrospinal-fluid-leakage
#13
Adedamola Adepoju, Matthew A Adamo
OBJECTIVE Skull fracture is associated with several intracranial injuries. The object of this study was to determine the rate of fracture associated with venous thrombosis, intracranial arterial dissection (ICAD), and cerebrospinal fluid (CSF) leakage in pediatric patients. Further, the authors aimed to highlight the features of pediatric skull fracture that predict poor neurological outcomes. METHOD In this retrospective study, the authors evaluated the records of 258 pediatric patients who had incurred a traumatic skull fracture in the period from 2009 to 2015...
December 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28987223/controversies-in-maxillofacial-trauma
#14
REVIEW
Daniel J Meara, Lewis C Jones
Craniomaxillofacial trauma management has continued to improve and evolve as a result of advances in technology and scientific inquiry. Controversies exist where there is little evidence-based literature to guide treatment in frontal sinus management, rigid versus absorbable fixation, open versus closed treatment of mandibular condyle fractures, extraction of teeth in the line of fracture, optimal timing for repair of mandible fractures, antibiotic use for facial wounds and fractures, and reconstructive materials in orbital fracture reconstruction...
November 2017: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/28986000/the-effect-of-light-emitting-diode-590-830%C3%A2-nm-based-low-level-laser-therapy-on-posttraumatic-edema-of-facial-bone-fracture-patients
#15
Woo Yeol Baek, Il Hwan Byun, In Sik Yun, Jae Yoon Kim, Tai Suk Roh, Dae Hyun Lew, Young Seok Kim
PURPOSE: Posttraumatic edema in facial bone fracture patients may interfere with the operation field and delay the schedule. Thus, swiftly reducing the edema alleviates patient discomfort and advances the operation date. Ice packing and compression bandages are often used for such a purpose, but such methods are often inconvenient for the face. In this study, we aim to analyze the effect of light-emitting diode (LED) (590/830 nm)-based low-level laser therapy (LLLT) in posttraumatic edema in facial bone fracture patients...
September 2, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28941504/trauma-in-facial-plastic-surgery-frontal-sinus-fractures
#16
REVIEW
Irene A Kim, Kofi D Boahene, Patrick J Byrne
The optimal management of frontal sinus fractures remains controversial. Fortunately, the severity of these injuries has diminished with more stringent auto-safety regulations, changing the treatment paradigms used to repair these injuries. Appropriate patient selection and close follow-up may allow for conservative management strategies when dealing with frontal sinus fractures, largely replacing the more morbid and invasive techniques that have been the mainstay for years. Because acute and delayed sequelae can arise after the initial injury, patients should be thoroughly counseled about the importance of follow-up and the need to seek medical care if they develop any concerning signs or symptoms...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28913294/approach-to-frontal-sinus-outflow-tract-injury
#17
REVIEW
Yong Hyun Kim, Baek-Kyu Kim
Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications...
March 2017: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/28913281/a-review-of-subbrow-approach-in-the-management-of-non-complicated-anterior-table-frontal-sinus-fracture
#18
REVIEW
Jeenam Kim, Hyungon Choi
Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are controversial. The subbrow approach enables accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by allowing direct visualization of the fracture. Given the surgical success in reduction and rigid fixation, patient satisfaction, and aesthetic benefits, the transcutaneous approach through a subbrow incision is superior to other reduction techniques used in the management of an anterior table frontal sinus fracture...
December 2016: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/28857992/solitary-frontal-sinus-fractures-compared-to-multiple-facial-fractures-energy-impact-dependency
#19
Efi Weitman, Dekel Shilo, Omri Emodi, Adi Rachmiel
Frontal sinus fractures account for 2% to 15% of maxillofacial injuries. Up to 66% to 87% of the patients with frontal sinus fractures experience associated facial fractures. The majority of classifications used today categorize frontal sinus fractures depending on the integrity of the anterior table, posterior table, and the nasofrontal outflow. A retrospective study was performed, which included 24 patients diagnosed with frontal sinus fractures. Treatment in all patients consisted of open reduction and bone fixation...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28834912/frontal-intradiploic-meningioma-with-progressive-intracranial-invasion-a-rare-case-report
#20
Sunfu Zhang, Jing Zhang, Junchen Chen, Xiaolin Ai, Xia He
RATIONALE: Intradiploic meningiomas are a subset of extradural meningiomas that arise in the skull. They are mostly localized in the frontoparietal and orbital regions, and they are often mistaken for primary bone tumors. PATIENT CONCERNS: The patient was a 48-year-old man with headache and a 12-year history of frontal cranium occupation, which was first discovered in 2005 and enlarged in 2009. The patient had a history of fracture in his frontal cranium 12 years ago...
August 2017: Medicine (Baltimore)
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