Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2010 Nov;24(4):375-82. doi: 10.1055/s-0030-1269766.
The management of frontal sinus fractures has changed over the past 20 years. Whereas the indications for an invasive procedure had been much broader in the past, it has become more common to treat these fractures conservatively, due to improved imaging modalities, the advent of endoscopic surgical treatment of the nasofrontal outflow tracts, and the improved understanding of frontal sinus physiology. A variety of algorithms have been proposed for the management of frontal sinus fractures; however, we present a simplified treatment algorithm, which uses cranialization, obliteration, reconstruction, observation, and endoscopic sinus surgery.
过去 20 年来,额窦骨折的治疗方法发生了变化。由于成像技术的改进、鼻额窦流出道内镜手术的出现以及对额窦生理学认识的提高,使得保守治疗这些骨折变得更为常见,因此过去广泛采用的侵袭性手术的适应证已变得更为狭窄。目前已经提出了多种额窦骨折的处理算法;然而,我们提出了一种简化的治疗算法,该算法使用颅面化、填塞、重建、观察和内镜鼻窦手术。