Facio-Maxillary and Dental Unit, Aaraike Superspecialty Hospital.
Nuface Dental Health Care, Davangere, India.
J Craniofac Surg. 2021 Jun 1;32(4):1472-1475. doi: 10.1097/SCS.0000000000007394.
Frontal bone fractures show a low frequency of occurrence of about 5% to 15% of all maxillofacial fractures occurring due to high-velocity injuries such as in the case of road traffic accidents, sporting events, assaults. Successful surgical management revolves around the concept of minimizing cosmetic deformity, maintaining normal sinus function, avoidance of short and long-term complications. In this article, the authors report a case series of 24 cases of frontal bone fracture treated with various treatment modalities.
A total of 24 cases of frontal bone fracture admitted to our facility were treated accordingly and the subsequent follow up data were collected and compiled to be included in this study.
In our study, 83.33% cases showed isolated anterior table fractures, 8.3% cases with combined anterior and posterior table fractures. 40% cases managed conservatively, 41.6% with titanium mini plates, 12.5% cases with titanium mesh and 4% with cranialisation with fat obliteration.
Our treatment decisions were based upon the extent and severity of the injuries which aided in tailoring the treatment modality. Thereby, curbing the long-term complications which could be foreseen and hence, a better functional outcome was achieved.
额骨骨折的发生率较低,约占所有颌面骨折的 5%至 15%,这些骨折通常是由于高速损伤引起的,如道路交通事故、运动事件、袭击等。成功的手术治疗围绕着尽量减少美容畸形、保持正常鼻窦功能、避免短期和长期并发症的概念展开。在本文中,作者报告了 24 例采用不同治疗方法治疗的额骨骨折病例系列。
共有 24 例额骨骨折患者在我院接受了相应的治疗,并收集和整理了随后的随访数据,纳入本研究。
在我们的研究中,83.33%的病例为单纯前板骨折,8.3%的病例为前、后板合并骨折。40%的病例采用保守治疗,41.6%的病例采用钛迷你板,12.5%的病例采用钛网,4%的病例采用颅骨化加脂肪填塞。
我们的治疗决策是基于损伤的程度和严重程度,这有助于制定治疗方案。从而控制可以预见的长期并发症,从而实现更好的功能结果。