Robiony Massimo, Della Pietra Lorenzo, Bertossi Dario, Albanese Massimo, Fresku Arsa
Department of Medical and Biological Science, University of Udine, Udine, Italy.
Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
Craniomaxillofac Trauma Reconstr. 2014 Mar;7(1):79-84. doi: 10.1055/s-0033-1364201. Epub 2014 Jan 9.
Accurate reduction and stable fixation are important in the treatment of frontal sinus fracture. In this article, we introduce a rapid and simple method for the treatment of frontal fractures and restoration of normal forehead contour, named the "bone mesh pull-up technique" (BMPUT). We describe our experience with this technique in frontal trauma cases, with emphasis on the technical aspects and clinical results of this simple method. Postoperative computed tomography scans showed adequate reduction of displaced bone fragments in all cases. Esthetic results were satisfactory and no complications related to this procedure, such as uncontrollable sinus bleeding, infection, and posterior table and brain injuries, were observed. Follow-ups ranged from 1 to 24 months, with an average of 12 months. Contour deformities were effectively restored and cosmetic results were very good. The BMPUT is a safe procedure that can be performed with minimal morbidity and offers, good access, and excellent esthetic results.
精确复位和稳定固定在额窦骨折的治疗中很重要。在本文中，我们介绍一种快速且简单的治疗额骨骨折及恢复正常前额轮廓的方法，名为“骨网提拉技术”（BMPUT）。我们描述了在额部创伤病例中使用该技术的经验，重点在于这种简单方法的技术要点和临床效果。术后计算机断层扫描显示所有病例中移位的骨碎片均得到充分复位。美学效果令人满意，未观察到与该手术相关的并发症，如无法控制的鼻窦出血、感染以及后骨板和脑损伤。随访时间为1至24个月，平均为12个月。轮廓畸形得到有效恢复，美容效果非常好。骨网提拉技术是一种安全的手术，可在发病率极低的情况下进行，具有良好的入路和出色的美学效果。
