Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures
Background Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction m...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2014-11-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.6.679 |
| _version_ | 1798005385215344640 |
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| author | Yewon Lee Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm Soon Heum Kim Cheol Keun Kim Dong In Jo |
| author_facet | Yewon Lee Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm Soon Heum Kim Cheol Keun Kim Dong In Jo |
| author_sort | Yewon Lee |
| collection | DOAJ |
| description | Background Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures.
Methods Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws.
Results Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed.
Conclusions The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture. |
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| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:38:22Z |
| publishDate | 2014-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-01a743b4022046f9878b5a1c7c5aa1572022-12-22T04:23:33ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712014-11-01410667968510.5999/aps.2014.41.6.679428Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus FracturesYewon Lee0Hyun Gon Choi1Dong Hyeok Shin2Ki Il Uhm3Soon Heum Kim4Cheol Keun Kim5Dong In Jo6Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Chungju, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Chungju, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Chungju, KoreaBackground Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. Methods Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws. Results Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed. Conclusions The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.6.679surgical procedures, minimally invasivefracture fixation, internalfrontal sinus |
| spellingShingle | Yewon Lee Hyun Gon Choi Dong Hyeok Shin Ki Il Uhm Soon Heum Kim Cheol Keun Kim Dong In Jo Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures Archives of Plastic Surgery surgical procedures, minimally invasive fracture fixation, internal frontal sinus |
| title | Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures |
| title_full | Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures |
| title_fullStr | Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures |
| title_full_unstemmed | Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures |
| title_short | Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures |
| title_sort | subbrow approach as a minimally invasive reduction technique in the management of frontal sinus fractures |
| topic | surgical procedures, minimally invasive fracture fixation, internal frontal sinus |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.6.679 |
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