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额骨骨折的外科治疗。

Surgical Management of Frontal Bone Fractures.

机构信息

Facio-Maxillary and Dental Unit, Aaraike Superspecialty Hospital.

Nuface Dental Health Care, Davangere, India.

出版信息

J Craniofac Surg. 2021 Jun 1;32(4):1472-1475. doi: 10.1097/SCS.0000000000007394.

DOI:10.1097/SCS.0000000000007394
PMID:33645950
Abstract

INTRODUCTION

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.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

简介

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。

材料和方法

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。

结果

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。

结论

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。

相似文献

1
Surgical Management of Frontal Bone Fractures.额骨骨折的外科治疗。
J Craniofac Surg. 2021 Jun 1;32(4):1472-1475. doi: 10.1097/SCS.0000000000007394.
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Comminuted Frontal Sinus Fracture Reconstructed With Titanium Mesh.用钛网重建粉碎性额窦骨折
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Management of frontal sinus fractures: a review of 33 cases.额窦骨折的治疗:33例病例回顾
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Titanium mesh repair of the severely comminuted frontal sinus fracture.钛网修复严重粉碎性额窦骨折
Arch Otolaryngol Head Neck Surg. 2001 Jun;127(6):665-9. doi: 10.1001/archotol.127.6.665.
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Management of Frontal Bone Fractures.额骨骨折的管理
J Craniofac Surg. 2019 Oct;30(7):2026-2029. doi: 10.1097/SCS.0000000000005720.
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Endoscopic repair of isolated anterior table frontal sinus fractures without fixation.内镜下修复孤立性额窦前壁骨折且无需固定
J Craniofac Surg. 2013 Jul;24(4):1357-60. doi: 10.1097/SCS.0b013e3182902518.
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Post-traumatic deformity of the anterior frontal table managed by the placement of a titanium mesh via an endoscopic approach.通过内镜入路放置钛网治疗额骨前板创伤后畸形。
Br J Oral Maxillofac Surg. 2012 Jun;50(4):e53-4. doi: 10.1016/j.bjoms.2011.09.005. Epub 2011 Oct 22.
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Endoscopic repair of anterior table frontal sinus fractures.内镜下修复额窦前壁骨折
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