Managing the Frontal Sinus in the Endoscopic Age: Has the Endoscope Changed the Algorithm?
Abstract
:Why Is Management of the Frontal Sinus so Challenging?
What Might the Endoscope Offer?
- Diagnosis
- Primary treatment
- Delayed intervention
Use of the Endoscope in Diagnosis
Endoscopic Management of Fractures
Outflow Tract/Frontal Sinus Outflow Tract Injury
Posterior Wall Defects
New Algorithm in the Endoscopic Age
Conclusion
Notes
References
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Author | Number of patients | Summary | Findings |
---|---|---|---|
Smith et al. [19] | 7 | Patients with frontal sinus fractures suspected of outflow tract injury were managed medically with antibiotics and follow-up imaging studies. | 5 of 7 patients had aerated frontal sinuses on follow-up. 2 patients with obstruction underwent endoscopic sinus surgery and had restoration of frontal sinus patency on follow-up. |
Chen et al. [25] | 7 | Patients with depressed anterior table fractures were treated with endoscopic browlift approach and microplate fixation of the fractures. | All patients underwent successful reduction and fixation with microplates. |
Steiger et al. [16] | 5 | Fractures with depression of anterior table were treated with reduction by way of frontal sinusotomy or frontal sinus trephination. | All had good cosmetic outcomes and all had patent and functional frontal sinuses based on CTs performed 2 months after surgery. |
Hueman and Eller [26] | 1 | Endoscopic balloon sinuplasty was performed to reduce an anterior table fracture with involvement of the frontal outflow tract. | Successful reduction was performed. Follow-up imaging showed good reduction and aeration of the frontal sinus. |
Chaaban et al. [27] | 13 | 12 patients with skull base defects from posterior table fractures were managed with Draf 2B (1 with concurrent trephination). One patient was managed with Draf 3. | All patients were repaired successfully with septal flap and/or free tissue grafts. One required revision frontal sinusotomy. |
Crozier et al. [14] | 2 | 2 patients with skull base defects from posterior table fractures were managed using an endoscopic assisted trephination technique. | Both patients underwent successful repair using bone and/or mucosal grafts. |
© 2014 by the author. The Author(s) 2014.
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Kellman, R.; Goyal, P. Managing the Frontal Sinus in the Endoscopic Age: Has the Endoscope Changed the Algorithm? Craniomaxillofac. Trauma Reconstr. 2014, 7, 203-212. https://doi.org/10.1055/s-0034-1371773
Kellman R, Goyal P. Managing the Frontal Sinus in the Endoscopic Age: Has the Endoscope Changed the Algorithm? Craniomaxillofacial Trauma & Reconstruction. 2014; 7(3):203-212. https://doi.org/10.1055/s-0034-1371773
Chicago/Turabian StyleKellman, Robert, and Parul Goyal. 2014. "Managing the Frontal Sinus in the Endoscopic Age: Has the Endoscope Changed the Algorithm?" Craniomaxillofacial Trauma & Reconstruction 7, no. 3: 203-212. https://doi.org/10.1055/s-0034-1371773
APA StyleKellman, R., & Goyal, P. (2014). Managing the Frontal Sinus in the Endoscopic Age: Has the Endoscope Changed the Algorithm? Craniomaxillofacial Trauma & Reconstruction, 7(3), 203-212. https://doi.org/10.1055/s-0034-1371773