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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Main Authors: Mihai Dumitru, Daniela Vrinceanu, Bogdan Banica, Romica Cergan, Iulian-Alexandru Taciuc, Felicia Manole, Matei Popa-Cherecheanu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Medicina
Subjects:
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.
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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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