Spinelli G, Lazzeri D, Arcuri F, Agostini T
CTO-AOUC, "Careggi Hospital", Florence, Italy; Unit of Cranio-Maxillo-Facial Surgery, "Meyer Children's Hospital", Florence, Italy.
Plastic Reconstructive and Aesthetic Surgery Unit, Villa Salaria Clinic, Rome, Italy.
Int J Oral Maxillofac Surg. 2015 Jan;44(1):79-82. doi: 10.1016/j.ijom.2014.09.019. Epub 2014 Oct 23.
Fractures of the frontal sinus are a common maxillofacial trauma and constitute 5-15% of all maxillofacial fractures. Conventional surgical approaches include the coronal flap, direct cutaneous incision, and endoscopic techniques. Minimally invasive techniques have recently been described for the reduction of the isolated anterior frontal sinus fracture via a closed approach. The medical records and radiological findings of all patients who underwent surgical treatment for anterior frontal sinus fractures from January 2009 to December 2013 at the study hospital in Florence, Italy, were reviewed. The final study sample consisted of 15 patients (13 males and two females) with isolated anterior frontal sinus fractures who were treated with closed reduction using percutaneous screws. The mean age was 32.1 years. The skin incisions healed without any visible scarring, and no depressions of the frontal sinuses were evident in the postoperative period. Computed tomography scans performed at 6 months postoperatively showed adequate reduction of the displaced fragments. This closed technique is a good option for displaced isolated fractures of the anterior frontal sinus. However, the technique is not adequate for complex fractures of the frontal sinus.
额窦骨折是常见的颌面创伤，占所有颌面骨折的5% - 15%。传统的手术方法包括冠状皮瓣、直接皮肤切口和内镜技术。最近有文献报道了通过闭合入路复位孤立性前额窦骨折的微创技术。回顾了2009年1月至2013年12月在意大利佛罗伦萨的研究医院接受前额窦骨折手术治疗的所有患者的病历和影像学检查结果。最终的研究样本包括15例孤立性前额窦骨折患者（13例男性和2例女性），他们接受了经皮螺钉闭合复位治疗。平均年龄为32.1岁。皮肤切口愈合后无明显瘢痕，术后前额窦无凹陷。术后6个月进行的计算机断层扫描显示移位骨折块复位良好。这种闭合技术是前额窦移位孤立性骨折的一个好选择。然而，该技术不适用于额窦复杂骨折。
