Lee Yoon Ho, Hwang Kun
Department of Plastic Surgery, Seoul National University College of Medicine, Seoul, Korea.
J Craniofac Surg. 2010 Sep;21(5):1635-7. doi: 10.1097/SCS.0b013e3181ef67d2.
A 31-year-old man with frontal sinus hypertrophy was treated with an inverted frontal bone and pericraniogaleal flap. Through a coronal incision and anterior supragaleal dissection, a pericraniogaleal flap was raised down to the supraorbital rim, and the frontal bone was exposed. The protruded anterior wall of the frontal sinus was removed with a drill. The excised piece of bone was inverted and replaced and fixed with microplates. The depressed surface of the inverted bone was made full with a folded pericraniogaleal flap. We think that an inversion of the anterior wall of the hypertrophied frontal sinus and topping with a folded pericraniogaleal flap are an alternative measure to treat frontal sinus hypertrophy.
一名患有额窦肥大的31岁男性接受了额骨倒置和帽状腱膜下皮瓣治疗。通过冠状切口和帽状腱膜上前区剥离，掀起帽状腱膜下皮瓣至眶上缘，暴露额骨。用钻头切除突出的额窦前壁。将切除的骨块倒置、复位并用微型钢板固定。用折叠的帽状腱膜下皮瓣填充倒置骨的凹陷表面。我们认为，肥大性额窦前壁倒置并覆盖折叠的帽状腱膜下皮瓣是治疗额窦肥大的一种替代措施。
