Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel.
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
J Laryngol Otol. 2021 May;135(5):448-451. doi: 10.1017/S0022215121001006. Epub 2021 Apr 21.
The long-term clinical and radiological outcomes of patients surgically treated for frontal sinus fracture were assessed.
A retrospective, single-centre analysis was conducted of patients treated for frontal sinus fracture in a tertiary trauma centre between 2000 and 2017. Patients who underwent surgical repair for frontal sinus fracture followed by clinical and radiographical evaluation for at least six months were included.
Of 338 patients admitted with frontal sinus fracture, 77 were treated surgically. Thirty patients met the inclusion criteria for long-term follow-up. The average follow-up duration was 37 months (range, 6-132 months). Reconstruction, obliteration and cranialisation of the frontal sinus fracture were performed in 14, 9 and 7 patients, respectively. Two patients with a reconstructed frontal sinus and one with an obliterated frontal sinus developed mucoceles. One patient developed forehead disfigurement following obliteration.
Long-term complications of frontal sinus repair using the chosen repair techniques are rare, but patients need to be made aware of these potential complications.
评估手术治疗额窦骨折患者的长期临床和影像学结果。
对 2000 年至 2017 年间在一家三级创伤中心接受额窦骨折治疗的患者进行回顾性单中心分析。纳入接受额窦骨折手术修复并至少进行 6 个月临床和影像学评估的患者。
338 例额窦骨折患者中，77 例接受手术治疗。30 例符合长期随访标准。平均随访时间为 37 个月（范围 6-132 个月）。分别对 14 例、9 例和 7 例患者进行额窦骨折重建、填塞和颅化。2 例重建额窦患者和 1 例填塞额窦患者出现黏液囊肿。1 例填塞后患者出现额部畸形。
采用所选修复技术修复额窦的长期并发症罕见，但需让患者了解这些潜在并发症。
