Noury Mostafa, Dunn Raymond M, Lalikos Janice F, Fudem Gary M, Rothkopf Douglas M
Division of Plastic Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
Ann Plast Surg. 2011 May;66(5):457-9. doi: 10.1097/SAP.0b013e3182185f14.
Frontal sinus fractures have traditionally been repaired through a bicoronal approach. This incision provides a wide exposure, but is not without complications, particularly in the patient with or at risk for hairline recession. We present a series of 15 patients who underwent open reduction and internal fixation of anterior table frontal sinus fractures through a frontalis rhytid forehead incision and their results based on the scar appearance, forehead contour, frontalis function, sensation and fracture reduction. Paresthesias cranial to the incision in the supraorbital or supratrochlear distribution were noted in 12 of the 15 patients with resolution in all except 1 patient who did not regain sensation at 4 months follow-up. In all patients, satisfactory forehead contour and fracture reduction were achieved, as were scar appearance and frontalis function at 4 months follow-up. We thus recommend this approach in the treatment of anterior table frontal sinus fractures, with special consideration for the patient with or at risk for anterior hairline recession.
传统上，额窦骨折通过双冠状切口进行修复。该切口可提供广泛的暴露，但并非没有并发症，尤其是对于有发际线后移或有发际线后移风险的患者。我们报告了15例通过额肌皱纹前额切口进行前壁额窦骨折切开复位内固定的患者，并根据瘢痕外观、前额轮廓、额肌功能、感觉和骨折复位情况报告了其结果。15例患者中有12例在眶上或滑车上分布区域切口上方出现感觉异常，除1例在4个月随访时仍未恢复感觉外，其余均恢复。在所有患者中，随访4个月时前额轮廓和骨折复位均令人满意，瘢痕外观和额肌功能也是如此。因此，我们推荐这种方法用于治疗前壁额窦骨折，对于有前发际线后移或有前发际线后移风险的患者应特别考虑。
