Schultz Kelly, Braun Tara L, Truong Tuan A
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2017 May;31(2):80-84. doi: 10.1055/s-0037-1601371.
The frontal bone serves a protective role, representing the transition between the facial skeleton and the cranium. Within its enclosure, the frontal sinus lies adjacent to many important intracranial structures, and injury to this region has severe complications if not properly managed. Historically, the goals of frontal sinus fracture management have been to best prevent intracranial complications with invasive procedures, but a recent shift favoring conservative management now aims to preserve the form and function of the frontal sinus and its outflow tract. With the advancement of endoscopic techniques and the development of new technologies, many alternatives to aggressive surgical management are available.
额骨起到保护作用,是面部骨骼和颅骨之间的过渡部分。在其内部,额窦毗邻许多重要的颅内结构,如果处理不当,该区域受伤会引发严重并发症。从历史上看,额窦骨折治疗的目标一直是通过侵入性手术最好地预防颅内并发症,但最近倾向于保守治疗的转变现在旨在保留额窦及其流出道的形态和功能。随着内镜技术的进步和新技术的发展,有许多替代积极手术治疗的方法。