ORIGINAL ARTICLE
Year : 2020 | Volume
: 10 | Issue : 2 | Page : 45--49
Endoscopic-assisted rigid internal fixation of anterior wall frontal sinus fractures
Tarek A Emara1, Ashraf E OdaBasha1, Tharwat A Omara2, Mohamad S Abdelazem1, Ahmed M Anany1 1 Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt 2 Department of Oral and Maxillofacial Surgery, Al-Ahrar General Hospital, Zagazig, Egypt
Correspondence Address:
Tarek A Emara MD, 35 Albahr Street, Zagazig, Egypt Postal cod 1115, Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig Egypt
Objectives
Isolated anterior wall frontal sinus fractures are usually managed through a coronal approach, with its potential complications such as big scar, alopecia, and paresthesia. This study evaluates the endoscopic repair of isolated anterior wall frontal sinus fractures with rigid internal fixation.
Study design
This was a prospective clinical trial.
Setting
This study was conducted at a tertiary care academic medical center.
Patients and methods
A total of 24 patients with isolated anterior wall frontal sinus fractures, documented with computed tomographic (CT) scans, were treated from 2010 to 2013. All were men with a mean age of 31 years (range, 21–43 years). Via a 10-mm skin incision placed in a skin crease, an endoscopic reduction by microplate fixation of the displaced bony segments was achieved.
Results
Three patients were excluded from the study owing to incomplete follow-up. Follow-up ranged from 13 to 29 months, with an average of 17 months. Contour deformities were perfectly restored, and cosmetic results were acceptable in all patients. Postoperative CT scans showed an excellent anatomic restoration of the frontal sinus contour in 17 patients. In four patients who had the anterior frontal sinus fractures affecting the superior orbital rime, the postoperative CT scans showed a suboptimal reduction of the bony fragments; however, they were satisfying with the forehead aesthetic contour. None of the patients complained of sinusitis or other related complications.
Conclusion
Isolated anterior wall frontal sinus fractures can be successfully treated endoscopically by microplate fixation. This method is a safe procedure that can be done with ease and minimal morbidity to avoid the comorbidities associated with the coronal approach.
Level of evidence: The level of evidence is IIb.
How to cite this article:
Emara TA, OdaBasha AE, Omara TA, Abdelazem MS, Anany AM. Endoscopic-assisted rigid internal fixation of anterior wall frontal sinus fractures.Pan Arab J Rhinol 2020;10:45-49
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How to cite this URL:
Emara TA, OdaBasha AE, Omara TA, Abdelazem MS, Anany AM. Endoscopic-assisted rigid internal fixation of anterior wall frontal sinus fractures. Pan Arab J Rhinol [serial online] 2020 [cited 2024 Mar 29 ];10:45-49
Available from: http://www.PAJR.eg.net/article.asp?issn=2090-7540;year=2020;volume=10;issue=2;spage=45;epage=49;aulast=Emara;type=0 |
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