Abstract
Frontal sinus fractures off er signifi cant challenges to surgeons and the treatment paradigm has been debated for many years. Acute concerns include protection of intracranial structures, identifi cation of associated injuries and control of cerebrospinal fl uid (CSF) leakage. The aesthetic forehead contour is an important consideration in repair. Past surgical modalities that removed the anterior bony frontal surface left life-long disfi guring defects and have been largely replaced by techniques that leave a smooth contour without visible scars. Concerns about aesthetic deformity, however, must yield to practices that will provide a "safe" sinus resistant to late complications. Long-term issues revolve around surveillance and management of late complications that can occur decades aft er the inciting injury. Traditional treatment paradigms were conceived before the advent of modern endoscopic and advanced imaging techniques, and focus on open techniques for fracture reduction and sinus management. Newer modifi ed algorithms incorporate these technologic advancements with improved functional and cosmetic results.
| Original language | English (US) |
|---|---|
| Title of host publication | Rhinologic and Sleep Apnea Surgical Techniques |
| Publisher | Springer Berlin Heidelberg |
| Pages | 149-158 |
| Number of pages | 10 |
| ISBN (Print) | 9783540340195 |
| DOIs | |
| State | Published - 2007 |
Fingerprint
ASJC Scopus subject areas
- Medicine(all)
Cite this
The management of frontal sinus fractures. / Winkler, Andrew A.; Smith, Timothy; Meyer, Tanya K.; Le, Thomas T.
Rhinologic and Sleep Apnea Surgical Techniques. Springer Berlin Heidelberg, 2007. p. 149-158.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - The management of frontal sinus fractures
AU - Winkler, Andrew A.
AU - Smith, Timothy
AU - Meyer, Tanya K.
AU - Le, Thomas T.
PY - 2007
Y1 - 2007
N2 - Frontal sinus fractures off er signifi cant challenges to surgeons and the treatment paradigm has been debated for many years. Acute concerns include protection of intracranial structures, identifi cation of associated injuries and control of cerebrospinal fl uid (CSF) leakage. The aesthetic forehead contour is an important consideration in repair. Past surgical modalities that removed the anterior bony frontal surface left life-long disfi guring defects and have been largely replaced by techniques that leave a smooth contour without visible scars. Concerns about aesthetic deformity, however, must yield to practices that will provide a "safe" sinus resistant to late complications. Long-term issues revolve around surveillance and management of late complications that can occur decades aft er the inciting injury. Traditional treatment paradigms were conceived before the advent of modern endoscopic and advanced imaging techniques, and focus on open techniques for fracture reduction and sinus management. Newer modifi ed algorithms incorporate these technologic advancements with improved functional and cosmetic results.
AB - Frontal sinus fractures off er signifi cant challenges to surgeons and the treatment paradigm has been debated for many years. Acute concerns include protection of intracranial structures, identifi cation of associated injuries and control of cerebrospinal fl uid (CSF) leakage. The aesthetic forehead contour is an important consideration in repair. Past surgical modalities that removed the anterior bony frontal surface left life-long disfi guring defects and have been largely replaced by techniques that leave a smooth contour without visible scars. Concerns about aesthetic deformity, however, must yield to practices that will provide a "safe" sinus resistant to late complications. Long-term issues revolve around surveillance and management of late complications that can occur decades aft er the inciting injury. Traditional treatment paradigms were conceived before the advent of modern endoscopic and advanced imaging techniques, and focus on open techniques for fracture reduction and sinus management. Newer modifi ed algorithms incorporate these technologic advancements with improved functional and cosmetic results.
UR - http://www.scopus.com/inward/record.url?scp=84891979468&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84891979468&partnerID=8YFLogxK
U2 - 10.1007/978-3-540-34020-1_15
DO - 10.1007/978-3-540-34020-1_15
M3 - Chapter
AN - SCOPUS:84891979468
SN - 9783540340195
SP - 149
EP - 158
BT - Rhinologic and Sleep Apnea Surgical Techniques
PB - Springer Berlin Heidelberg
ER -