Management of Aesthetic and Functional Deficits in Frontal Bone Trauma
Frontal bone trauma has an increasing incidence and prevalence due to the wide-scale use of personal mobility devices such as motorcycles, electric bicycles, and scooters. Usually, the patients are involved in high-velocity accidents and the resulting lesions could be life-threatening. Moreover, the...
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Format: | Article |
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MDPI AG
2022-11-01
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Series: | Medicina |
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Online Access: | https://www.mdpi.com/1648-9144/58/12/1756 |
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author | Mihai Dumitru Daniela Vrinceanu Bogdan Banica Romica Cergan Iulian-Alexandru Taciuc Felicia Manole Matei Popa-Cherecheanu |
author_facet | Mihai Dumitru Daniela Vrinceanu Bogdan Banica Romica Cergan Iulian-Alexandru Taciuc Felicia Manole Matei Popa-Cherecheanu |
author_sort | Mihai Dumitru |
collection | DOAJ |
description | Frontal bone trauma has an increasing incidence and prevalence due to the wide-scale use of personal mobility devices such as motorcycles, electric bicycles, and scooters. Usually, the patients are involved in high-velocity accidents and the resulting lesions could be life-threatening. Moreover, there are immediate and long-term aesthetic and functional deficits resulting from such pathology. The immediate complications range from local infections in the frontal sinus to infections propagating inside the central nervous system, or the presence of cerebrospinal fluid leaks and vision impairment. We review current trends and available guidelines regarding the management of cases with frontal bone trauma. Treatment options taken into consideration are a conservative attitude towards minor lesions or aggressive surgical management of complex fractures involving the anterior and posterior frontal sinus walls. We illustrate and propose different approaches in the management of cases with long-term complications after frontal bone trauma. The team attending to these patients should unite otorhinolaryngologists, neurosurgeons, ophthalmologists, and maxillofacial surgeons. Take-home message: Only such complex interdisciplinary teams of trained specialists can provide a higher standard of care for complex trauma cases and limit the possible exposure to further legal actions or even malpractice. |
first_indexed | 2024-03-09T16:07:22Z |
format | Article |
id | doaj.art-4c181515bad6400a95847781609460f0 |
institution | Directory Open Access Journal |
issn | 1010-660X 1648-9144 |
language | English |
last_indexed | 2024-03-09T16:07:22Z |
publishDate | 2022-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Medicina |
spelling | doaj.art-4c181515bad6400a95847781609460f02023-11-24T16:32:10ZengMDPI AGMedicina1010-660X1648-91442022-11-015812175610.3390/medicina58121756Management of Aesthetic and Functional Deficits in Frontal Bone TraumaMihai Dumitru0Daniela Vrinceanu1Bogdan Banica2Romica Cergan3Iulian-Alexandru Taciuc4Felicia Manole5Matei Popa-Cherecheanu6ENT Department, Carol Davila University of Medicine and Pharmacy, 050472 Bucharest, RomaniaENT Department, Carol Davila University of Medicine and Pharmacy, 050472 Bucharest, RomaniaOMF Surgery Department, Bucharest Emergency University Hospital, 050098 Bucharest, RomaniaAnatomy Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Pathology, “Carol Davila” University of Medicine and Pharmacy, 050096 Bucharest, RomaniaDepartment of ENT, Faculty of Medicine, University of Oradea, 410073 Oradea, RomaniaDepartment of Cardiovascular Surgery, “Prof. Dr. Agrippa Ionescu” Emergency Clinical Hospital, 011356 Bucharest, RomaniaFrontal bone trauma has an increasing incidence and prevalence due to the wide-scale use of personal mobility devices such as motorcycles, electric bicycles, and scooters. Usually, the patients are involved in high-velocity accidents and the resulting lesions could be life-threatening. Moreover, there are immediate and long-term aesthetic and functional deficits resulting from such pathology. The immediate complications range from local infections in the frontal sinus to infections propagating inside the central nervous system, or the presence of cerebrospinal fluid leaks and vision impairment. We review current trends and available guidelines regarding the management of cases with frontal bone trauma. Treatment options taken into consideration are a conservative attitude towards minor lesions or aggressive surgical management of complex fractures involving the anterior and posterior frontal sinus walls. We illustrate and propose different approaches in the management of cases with long-term complications after frontal bone trauma. The team attending to these patients should unite otorhinolaryngologists, neurosurgeons, ophthalmologists, and maxillofacial surgeons. Take-home message: Only such complex interdisciplinary teams of trained specialists can provide a higher standard of care for complex trauma cases and limit the possible exposure to further legal actions or even malpractice.https://www.mdpi.com/1648-9144/58/12/1756bonecomplicationsfrontalmanagementotorhinolaryngologytrauma |
spellingShingle | Mihai Dumitru Daniela Vrinceanu Bogdan Banica Romica Cergan Iulian-Alexandru Taciuc Felicia Manole Matei Popa-Cherecheanu Management of Aesthetic and Functional Deficits in Frontal Bone Trauma Medicina bone complications frontal management otorhinolaryngology trauma |
title | Management of Aesthetic and Functional Deficits in Frontal Bone Trauma |
title_full | Management of Aesthetic and Functional Deficits in Frontal Bone Trauma |
title_fullStr | Management of Aesthetic and Functional Deficits in Frontal Bone Trauma |
title_full_unstemmed | Management of Aesthetic and Functional Deficits in Frontal Bone Trauma |
title_short | Management of Aesthetic and Functional Deficits in Frontal Bone Trauma |
title_sort | management of aesthetic and functional deficits in frontal bone trauma |
topic | bone complications frontal management otorhinolaryngology trauma |
url | https://www.mdpi.com/1648-9144/58/12/1756 |
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