TY - JOUR
T1 - Endoscopic repair of isolated anterior table frontal sinus fractures
AU - Strong, E Bradley
AU - Buchalter, Gregory M.
AU - Moulthrop, Thomas H M
PY - 2003
Y1 - 2003
N2 - Background: Recently developed endoscopic browlifting techniques and instrumentation are being used for treatment of anterior table frontal sinus fractures. Potential endoscopic treatment options include fracture reduction with or without plating and fracture repair with hydroxyapatite bone cement (HA). Objective: To evaluate the efficacy of miniplates and HA for repair of anterior table fractures. Methods: Frontal sinus fractures were generated in 11 cadavers. Standard endoscopic brow-lifting techniques were used to visualize the fracture from above. A 1-cm Lynch incision was used to apply instrumentation from below. Fractures were repaired with either miniplate reduction or HA recontouring. Results: All fractures were exposed without difficulty. Miniplates were applied in 5 specimens: 1 specimen had a complete reduction, 2 specimens had partial reductions, and 2 specimens had incomplete reductions. Bone cement was applied in 9 specimens: 4 specimens were rated as excellent and 5 specimens as good. Conclusions: Frontal sinus fractures can be successfully exposed and repaired with an endoscopic technique. Endoscopic miniplate reduction of frontal sinus fractures can be accomplished. However, it is challenging, and success rates vary depending on fracture comminution. EndoscopicHArecontouring offered the best results, with good or excellent outcomes in all specimens.
AB - Background: Recently developed endoscopic browlifting techniques and instrumentation are being used for treatment of anterior table frontal sinus fractures. Potential endoscopic treatment options include fracture reduction with or without plating and fracture repair with hydroxyapatite bone cement (HA). Objective: To evaluate the efficacy of miniplates and HA for repair of anterior table fractures. Methods: Frontal sinus fractures were generated in 11 cadavers. Standard endoscopic brow-lifting techniques were used to visualize the fracture from above. A 1-cm Lynch incision was used to apply instrumentation from below. Fractures were repaired with either miniplate reduction or HA recontouring. Results: All fractures were exposed without difficulty. Miniplates were applied in 5 specimens: 1 specimen had a complete reduction, 2 specimens had partial reductions, and 2 specimens had incomplete reductions. Bone cement was applied in 9 specimens: 4 specimens were rated as excellent and 5 specimens as good. Conclusions: Frontal sinus fractures can be successfully exposed and repaired with an endoscopic technique. Endoscopic miniplate reduction of frontal sinus fractures can be accomplished. However, it is challenging, and success rates vary depending on fracture comminution. EndoscopicHArecontouring offered the best results, with good or excellent outcomes in all specimens.
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U2 - 10.1001/archfaci.5.6.514
DO - 10.1001/archfaci.5.6.514
M3 - Article
C2 - 14623691
AN - SCOPUS:1542495711
VL - 5
SP - 514
EP - 521
JO - JAMA Facial Plastic Surgery
JF - JAMA Facial Plastic Surgery
SN - 2168-6076
IS - 6
ER -