Wiecko J, Karasiewicz P, Fruba J
Polim Med. 1980;10(3):165-70.
Fractures of the anterior wall of the frontal sinus, complicated by impression of bone fragments, can cause serious functional and cosmetic disturbances. Surgeons often remove those fragments and obliterate the sinus. But disfigurement from the operation will be worse than that caused by original lesion and can only be corrected by further plastic surgery. Some surgeons use the technique of joining bone fragments by metal or thread sutures but it is only possible when the fragment are not too small. We present four patients treated over a period of 1975-1979 with the reconstruction of the frontal sinus from its fragments using cyanoacrylic tissue adhesive (Chirurcoll-Polfa). One patient was operated immediately after an accident, two patients one month after a trauma and another after six months. The adhesive tissue was applied in single drops directly on the edges of dry surface of bone fragments. The fragments can be joined only in some points because the tissue adhesive can not make an isolation layer between them. The tissue adhesive speeds up the processes of ossification. We observed no interference with wound healing, no detrimental effect of this method in the postoperative course and no pathologic local and general reactions. The adhesive tissue makes manipulation in the operative field easier. The functional and esthetic results were satisfactory and further corrective surgery was not necessary.
额窦前壁骨折若伴有骨碎片嵌入，可导致严重的功能和外观障碍。外科医生常去除这些碎片并闭塞鼻窦。但手术造成的毁容比原发损伤更严重，且只能通过进一步的整形手术来矫正。一些外科医生采用金属或丝线缝合连接骨碎片的技术，但这仅在碎片不太小时才可行。我们介绍1975年至1979年间接受治疗的4例患者，他们采用氰基丙烯酸组织粘合剂（Chirurcoll - Polfa）从碎片重建额窦。1例患者在事故后立即手术，2例患者在创伤后1个月手术，另1例在6个月后手术。将粘合剂组织以单滴形式直接滴在骨碎片干燥表面的边缘。由于组织粘合剂无法在碎片之间形成隔离层，所以只能在某些点连接碎片。组织粘合剂加速骨化过程。我们未观察到对伤口愈合的干扰，该方法在术后过程中无有害影响，也无局部和全身病理反应。粘合剂组织使手术野的操作更简便。功能和美学效果令人满意，无需进一步的矫正手术。
