Bell R Bryan
Oral and Maxillofacial Surgery Service, Legacy Emanuel Hospital and Health Center, Portland, OR 97227, USA.
Oral Maxillofac Surg Clin North Am. 2009 May;21(2):227-42. doi: 10.1016/j.coms.2008.12.003.
The goals in the treatment of frontal sinus injuries are to provide an esthetic outcome, restore function, and prevent complications. However, there is no consensus as to how to best achieve these goals. Unfortunately, the questions that Stanley proposed in 1989 still lack definitive answers more than 19 years later: (1) Which fractures, if left untreated, will lead to an immediate or delayed complication? and (2) What is the appropriate surgical procedure if treatment of the fracture is deemed necessary? This article discusses the controversies in the surgical treatment of such fractures and provides a scientific rationale for proper management.
额窦损伤治疗的目标是获得美观的效果、恢复功能并预防并发症。然而，对于如何最佳地实现这些目标尚无共识。不幸的是，斯坦利在1989年提出的问题在19年多后仍缺乏明确的答案：（1）哪些骨折若不治疗会导致即刻或延迟并发症？以及（2）如果认为有必要治疗骨折，合适的手术方法是什么？本文讨论此类骨折手术治疗中的争议，并为恰当的处理提供科学依据。
