Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Int J Oral Maxillofac Surg. 2012 Oct;41(10):1192-4. doi: 10.1016/j.ijom.2012.06.023. Epub 2012 Jul 24.
Frontal sinus fractures are common fractures in high-energetic trauma. Different treatments options are available for different types of frontal sinus fractures. A fracture that consists only of the anterior wall is most commonly reduced with the coronal approach. This approach is invasive and produces a large scar on the scalp, which can result in an unfavourable situation in patients with alopecia and in balding men. To avoid this, a percutaneous reduction method can be used to treat patients with simple anterior wall fractures. This approach is less invasive and does not result in a conspicuous scar. The disadvantages of this procedure are the absence of direct vision and less control of the fracture, which can reduce the chances of complete reduction. This paper provides an overview of anterior wall fractures of the frontal sinus and elaborates on the simple percutaneous reduction technique.
额窦骨折是高能创伤中常见的骨折。对于不同类型的额窦骨折，有不同的治疗选择。仅包含前壁的骨折最常通过冠状入路进行复位。这种方法具有侵袭性，会在头皮上留下较大的疤痕，这可能导致脱发和秃顶患者的情况不佳。为避免这种情况，可以使用经皮复位方法来治疗单纯前壁骨折的患者。这种方法侵袭性较小，不会留下明显的疤痕。该手术的缺点是缺乏直接视野和对骨折的控制较少，这可能会降低完全复位的机会。本文概述了额窦前壁骨折，并详细阐述了简单的经皮复位技术。
