Adkins W Y, Cassone R D, Putney F J
Laryngoscope. 1979 Jul;89(7 Pt 1):1099-104.
Both the anterior and/or posterior wall of the frontal sinus as well as the nasofrontal duct may be injured by blunt force, commonly secondary to automobile accidents. In this group of 13 solitary frontal sinus fractures, the anterior wall was involved in all cases, and the posterior wall in 2. Antibiotic therapy was given to prevent anticipated infection. Comminuted or depressed fractures of the anterior wall were treated by elevation and/or wiring. Surgical treatment was not employed when there was a linear fracture of the anterior wall in good alignment. Posterior wall fragments were removed and periosteal flaps used to close the defect when the dura was intact. One case required neurosurgical treatment for a dural tear and necrotic frontal lobe cortex.
额窦的前壁和/或后壁以及鼻额管都可能因钝性外力而受损，常见于汽车事故后。在这组13例孤立性额窦骨折中，所有病例均累及前壁，2例累及后壁。给予抗生素治疗以预防预期的感染。前壁的粉碎性或凹陷性骨折通过抬高和/或钢丝固定进行治疗。当前壁线性骨折对位良好时，不采用手术治疗。当硬脑膜完整时，切除后壁碎片并使用骨膜瓣封闭缺损。1例因硬脑膜撕裂和额叶皮质坏死需要神经外科治疗。
