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Repair of frontal sinus fractures: clinical and radiological long-term outcomes

Published online by Cambridge University Press:  21 April 2021

E E Alon ,
E Glikson ,
Y Shoshani ,
A Dobriyan ,
R Yahalom  and
A Yakirevitch
E E Alon
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
E Glikson
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
Y Shoshani
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
A Dobriyan
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
R Yahalom
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
A Yakirevitch*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
*
Author for correspondence: Dr Arkadi Yakirevitch, Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, 52621Israel E-mail: arkadiyak@gmail.com Fax: +972 (3) 530 5124
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Abstract

Objective

The long-term clinical and radiological outcomes of patients surgically treated for frontal sinus fracture were assessed.

Methods

A retrospective, single-centre analysis was conducted of patients treated for frontal sinus fracture in a tertiary trauma centre between 2000 and 2017. Patients who underwent surgical repair for frontal sinus fracture followed by clinical and radiographical evaluation for at least six months were included.

Results

Of 338 patients admitted with frontal sinus fracture, 77 were treated surgically. Thirty patients met the inclusion criteria for long-term follow-up. The average follow-up duration was 37 months (range, 6–132 months). Reconstruction, obliteration and cranialisation of the frontal sinus fracture were performed in 14, 9 and 7 patients, respectively. Two patients with a reconstructed frontal sinus and one with an obliterated frontal sinus developed mucoceles. One patient developed forehead disfigurement following obliteration.

Conclusion

Long-term complications of frontal sinus repair using the chosen repair techniques are rare, but patients need to be made aware of these potential complications.

Keywords

Frontal SinusSkull FracturesMucoceleAbscessFracture Fixation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 448 - 451
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Yakirevitch takes responsibility for the integrity of the content of the paper

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