Trauma in Facial Plastic Surgery : Frontal Sinus Fractures - 21/09/17

Doi : 10.1016/j.fsc.2017.06.004

Irene A. Kim, MD ^a,^⁎ , Kofi D. Boahene, MD ^a, Patrick J. Byrne, MD, FACS, MBA ^b,^c
^a Facial Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street 6th Floor, Baltimore, MD 21287-0910, USA
^b Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Head and Neck Surgery, Greater Baltimore Cleft Lip and Palate Team, Johns Hopkins University School of Medicine, 6701 N Charles Street, Baltimore, MD 21204, USA
^c Department of Dermatology, Johns Hopkins University School of Medicine, 601 North Caroline Street 6th Floor, Baltimore, MD 21287-0910, USA

^∗Corresponding author.

Résumé

The optimal management of frontal sinus fractures remains controversial. Fortunately, the severity of these injuries has diminished with more stringent auto-safety regulations, changing the treatment paradigms used to repair these injuries. Appropriate patient selection and close follow-up may allow for conservative management strategies when dealing with frontal sinus fractures, largely replacing the more morbid and invasive techniques that have been the mainstay for years. Because acute and delayed sequelae can arise after the initial injury, patients should be thoroughly counseled about the importance of follow-up and the need to seek medical care if they develop any concerning signs or symptoms.

Le texte complet de cet article est disponible en PDF.

Keywords : Frontal, Sinus, Fracture, Trauma, Obliteration, Cranialization